Identify trends and recurring denial patterns; assist with root cause analysis and report findings to management. * Stay up to date on payer policies, coding guidelines, and reimbursement rules.
Identify trends and recurring denial patterns; assist with root cause analysis and report findings to management. * Stay up to date on payer policies, coding guidelines, and reimbursement rules.
The PPS Denial Management Specialist is expected to achieve and maintain an effective and ... In a timely fashion, assist with updating and distributing applicable policy and procedures with ...
The PPS Denial Management Specialist is expected to achieve and maintain an effective and ... In a timely fashion, assist with updating and distributing applicable policy and procedures with ...
Accounts Receivable Associate- Orthopedics - Medical Biller
Uniondale, NY ยท On-site
$24 - $26/hr
Support/assist team with additional assigned tasks as needed * Effectively communicate and ... High School Diploma or equivalent required, 2+ years of experience with A&R, or Denial Management ...
Accounts Receivable Associate- Orthopedics - Medical Biller
Uniondale, NY ยท On-site
$24 - $26/hr
Support/assist team with additional assigned tasks as needed * Effectively communicate and ... High School Diploma or equivalent required, 2+ years of experience with A&R, or Denial Management ...
Denial Management Supervisor - HB Patient Financial Services - FT Days
Anaheim, CA ยท On-site
$71.60K/yr
Commercial/Managed Care Collection/Denial Manager, the Commercial/Managed Care Collection/Denial ... Work collaboratively and assist in personnel actions and staffing and human resource matters ...
Denial Management Supervisor - HB Patient Financial Services - FT Days
Anaheim, CA ยท On-site
$71.60K/yr
Commercial/Managed Care Collection/Denial Manager, the Commercial/Managed Care Collection/Denial ... Work collaboratively and assist in personnel actions and staffing and human resource matters ...
Coordinator I, (Hybrid) Obstetrics and Gynecology Clinical Support Services - Galveston
Galveston, TX ยท Hybrid
Meet with department stakeholders to review reporting and assist with root cause analysis, which ... Denial Management : * Coordinate with report writers to develop department-specific reporting on ...
Coordinator I, (Hybrid) Obstetrics and Gynecology Clinical Support Services - Galveston
Galveston, TX ยท Hybrid
Meet with department stakeholders to review reporting and assist with root cause analysis, which ... Denial Management : * Coordinate with report writers to develop department-specific reporting on ...
Payer-specific denial trends * Collaborate with the Enterprise Clinical Denial Assistant Manager to educate departments on proper charging, billing, and coding practices to ensure regulatory ...
Payer-specific denial trends * Collaborate with the Enterprise Clinical Denial Assistant Manager to educate departments on proper charging, billing, and coding practices to ensure regulatory ...
Coordinator I, (Hybrid) Obstetrics and Gynecology Clinical Support Services - Galveston
Galveston, TX ยท Hybrid
Meet with department stakeholders to review reporting and assist with root cause analysis, which ... Denial Management : * Coordinate with report writers to develop department-specific reporting on ...
Coordinator I, (Hybrid) Obstetrics and Gynecology Clinical Support Services - Galveston
Galveston, TX ยท Hybrid
Meet with department stakeholders to review reporting and assist with root cause analysis, which ... Denial Management : * Coordinate with report writers to develop department-specific reporting on ...
Coordinator I, (Hybrid) Obstetrics and Gynecology Clinical Support Services - Galveston
Galveston, TX ยท On-site
Meet with department stakeholders to review reporting and assist with root cause analysis, which ... Denial Management : * Coordinate with report writers to develop department-specific reporting on ...
Coordinator I, (Hybrid) Obstetrics and Gynecology Clinical Support Services - Galveston
Galveston, TX ยท On-site
Meet with department stakeholders to review reporting and assist with root cause analysis, which ... Denial Management : * Coordinate with report writers to develop department-specific reporting on ...
Payer-specific denial trends * Collaborate with the Enterprise Clinical Denial Assistant Manager to educate departments on proper charging, billing, and coding practices to ensure regulatory ...
Payer-specific denial trends * Collaborate with the Enterprise Clinical Denial Assistant Manager to educate departments on proper charging, billing, and coding practices to ensure regulatory ...
Accounts Receivable Associate- Workers Comp.
Uniondale, NY ยท On-site
$21 - $24/hr
Maintain appropriate documentation and notes of all collection activity * Assist with collections ... High School Diploma or equivalent required * 2+ years of experience with A&R & Denial Management ...
Accounts Receivable Associate- Workers Comp.
Uniondale, NY ยท On-site
$21 - $24/hr
Maintain appropriate documentation and notes of all collection activity * Assist with collections ... High School Diploma or equivalent required * 2+ years of experience with A&R & Denial Management ...
Revenue Cycle Supervisor
Los Angeles, CA ยท On-site
$113K - $149K/yr
Oversee denial management processes, including root cause analysis and prevention strategies ... Collaborate with analysts on system enhancements, reporting, and automation. * Assist in ...
Quick apply
Revenue Cycle Supervisor
Los Angeles, CA ยท On-site
$113K - $149K/yr
Oversee denial management processes, including root cause analysis and prevention strategies ... Collaborate with analysts on system enhancements, reporting, and automation. * Assist in ...
Revenue Cycle Coder Denial Specialist
Seattle, WA ยท On-site
$24.70 - $44.46/hr
Communicate with providers and staff to obtain necessary documentation or clarification * Assist ... Experience with denial management, AR workflows, and appeals * Orthopedic coding experience ...
Revenue Cycle Coder Denial Specialist
Seattle, WA ยท On-site
$24.70 - $44.46/hr
Communicate with providers and staff to obtain necessary documentation or clarification * Assist ... Experience with denial management, AR workflows, and appeals * Orthopedic coding experience ...
Lead denial management efforts, including identifying root causes, escalating payer trends, and ... Identify and assist with payer-related issues, reimbursement concerns, and contract or billing ...
Quick apply
Lead denial management efforts, including identifying root causes, escalating payer trends, and ... Identify and assist with payer-related issues, reimbursement concerns, and contract or billing ...
Revenue Cycle Supervisor
$113K - $149K/yr
Oversee denial management processes, including root cause analysis and prevention strategies ... Collaborate with analysts on system enhancements, reporting, and automation. * Assist in ...
Quick apply
Revenue Cycle Supervisor
$113K - $149K/yr
Oversee denial management processes, including root cause analysis and prevention strategies ... Collaborate with analysts on system enhancements, reporting, and automation. * Assist in ...
Oversee billing operations, claims processing, payment posting, denial management, appeals ... * Assist with implementation and optimization of EMR and revenue cycle technology platforms
Oversee billing operations, claims processing, payment posting, denial management, appeals ... * Assist with implementation and optimization of EMR and revenue cycle technology platforms
Denials Analyst
Lisle, IL ยท On-site
$15 - $25/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
Denials Analyst
Lisle, IL ยท On-site
$15 - $25/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
Denials Analyst
Houma, LA ยท On-site
$15 - $25/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
Denials Analyst
Houma, LA ยท On-site
$15 - $25/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
Be Seen First
Director of Patient Finance & Revenue Cycle
Denver, CO ยท On-site
$90K - $130K/yr
Oversee billing operations, claims processing, payment posting, denial management, appeals ... * Assist with implementation and optimization of EMR and revenue cycle technology platforms
Quick apply
Be Seen First
Director of Patient Finance & Revenue Cycle
Denver, CO ยท On-site
$90K - $130K/yr
Oversee billing operations, claims processing, payment posting, denial management, appeals ... * Assist with implementation and optimization of EMR and revenue cycle technology platforms
Director, Patient Finance & Revenue Cycle (76036)
Denver, CO ยท On-site
$100K - $130K/yr
Oversee billing operations, claims processing, payment posting, denial management, appeals ... * Assist with implementation and optimization of EMR and revenue cycle technology platforms
Director, Patient Finance & Revenue Cycle (76036)
Denver, CO ยท On-site
$100K - $130K/yr
Oversee billing operations, claims processing, payment posting, denial management, appeals ... * Assist with implementation and optimization of EMR and revenue cycle technology platforms
... Assist with charge capture audits and reviews as assigned. Escalate recurring or high-risk charge capture issues to leadership. Prepare and distribute our RCAT charge audits. 20% C Denial management ...
... Assist with charge capture audits and reviews as assigned. Escalate recurring or high-risk charge capture issues to leadership. Prepare and distribute our RCAT charge audits. 20% C Denial management ...
Assistant Denial Management information
See salary details
$29K - $32.7K
1% of jobs
$32.7K - $36.4K
4% of jobs
$36.4K - $40K
7% of jobs
$42.5K is the 25th percentile. Wages below this are outliers.
$40K - $43.7K
18% of jobs
The median wage is $46.4K / yr.
$43.7K - $47.4K
27% of jobs
$49.7K is the 75th percentile. Wages above this are outliers.
$47.4K - $51.1K
28% of jobs
$51.1K - $54.8K
7% of jobs
$54.8K - $58.5K
3% of jobs
$58.5K - $62.1K
2% of jobs
$62.1K - $65.8K
1% of jobs
$65.8K - $69.5K
1% of jobs
$29K
$48.4K
$69.5K
How much do assistant denial management jobs pay per year?
What are the key skills and qualifications needed to thrive as an Assistant Denial Management specialist, and why are they important?
What are the typical challenges faced by someone in an Assistant Denial Management role, and how can they be addressed?
What is an Assistant Denial Management?
What is the difference between Assistant Denial Management vs Medical Billing Specialist?
| Aspect | Assistant Denial Management | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires certification in medical billing or coding | Usually requires certification or training in medical billing/coding |
| Work Environment | Healthcare facilities, insurance companies, billing offices | Hospitals, clinics, physician offices, billing companies |
| Primary Responsibilities | Follow up on denied claims, resolve billing issues, ensure payment | Prepare, submit, and manage medical claims, coding, and billing processes |
Assistant Denial Management and Medical Billing Specialist roles both focus on healthcare billing processes. While they share similar credentials and work environments, Assistant Denial Management emphasizes resolving claim denials and appeals, whereas Medical Billing Specialists handle the entire billing cycle. Understanding these differences helps healthcare organizations assign the right tasks to the appropriate roles.
Claims Denial Specialist - Revenue Cycle - Okmulgee
Muscogee Nation Department of HealthOkmulgee, OK โข On-site
Full-time
Posted yesterday
Job description
Education -High school diploma/GED required. Associate's degree preferred.
Experience - Five (5) years Revenue Cycle/Billing Office experience and Medicare billing required.
Licenses & Certification -
Knowledge & Skills -
- Proficient in hospital and/or clinic billing and follow up
- Knowledge of medical terminology
- Demonstrate strong knowledge in the use of ICD-10-CM, CPT, HCPCS, and Revenue Codes.
- Experience with payer portals and healthcare billing software.
- Extensive knowledge of the major insurance companies' billing policies to ensure compliance
- Strong analytical and problem-solving abilities
- Basic knowledge of insurance claim forms
- Working knowledge in specific specialties within the hospital and/or clinic billing areas.
- Ability to read, comprehend, and follow oral and written instructions
- Must have the ability to establish and maintain effective working relationships with patients, co-workers and the general public
The Denials Specialist is responsible for reviewing, analyzing, and resolving denied medical claims to ensure proper reimbursement for healthcare services. The Denials Specialist ensures timely and accurate resubmission or appeal of denied claims to optimize reimbursement and minimize revenue loss. This position works closely with payers, billing staff, and clinical teams to identify root causes of denials and implement solutions to prevent future occurrences. This position is in office/person (not remote).
WORK ENVIRONMENT
Work is performed in a business office environment. Occasional overtime and travel may be required.
PHYSICAL DEMANDS
Required sitting and standing associated with a normal office environment. Manual dexterity is needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.
ESSENTIAL FUNCTIONS
Satisfactory job performance will be determined by successful execution of the following:
- Review and analysis of benefits (EOBs), electronic remittance advice (ERAs), and payer correspondence related to denied claims.
- Research denial reasons and take appropriate actions, including correcting claim errors, submitting appeals, or resubmitting claims.
- Research denial reasons and take appropriate actions, including correcting claim errors, submitting appeals, or resubmitting claims.
- Communicate with insurance companies, patients, and internal departments to resolve outstanding issues.
- Maintain accurate documentation of all follow-up activities and appeal efforts in the billing system.
- Identify trends and recurring denial patterns; assist with root cause analysis and report findings to management.
- Stay up to date on payer policies, coding guidelines, and reimbursement rules.
- Collaborate with billing, coding, and compliance teams to improve first-pass claim acceptance rates.
- Assist in the development and implementation of denial management workflows and best practices.
- Assist with payor enrollment/credentialing.
- Keep a positive attitude.
- Meet departmental productivity and quality benchmarks.
- Participate in educational activities and attend staff meetings when needed.
- Regular attendance is required.
- Maintain a neat, clean and clutter-free work area always.
- Must be well organized, detail oriented and strive to work efficiently and accurately.
- Maintain strict confidentiality; adhere to all HIPPA guidelines and regulations.
- Adhere to the organizations (department) values and contribute to the fulfillment of its mission.
- Perform other duties as assigned.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
About Muscogee Nation Division of Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Tulsa, OK, US
Year founded
1977