Denial Specialist
Apply NowLocation:
Remote - South Carolina, SC, US
Company:
Medical University Hospital Authority (MUHA) is a prominent healthcare institution focused on patient care, research, and education.
Summary:
The Denial Specialist will analyze claim authorization denials and facilitate appeals and adjustments. A high school diploma and up to six months of experience are required.
Requirements:
Experience: 0-6 months
Job Description:
The denial specialist will analyze and research claim authorization denials and determine the appropriate course of action including but not limited to filing appeals and or filing adjustments. Document and monitor the status of appeal claims and follow up with payor representatives as needed to expedite resolution. Identify denial trends, root causes and make recommendations for process improvement. Ensure legal compliance by following company policies, procedures, guidelines, and as well as federal insurance regulations.
Education: High School Degree or Equivalent Work Experience: 0-6months
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
