Technical Denials Management Specialist II

UT Southwestern Medical Center
Dallas, TX
Category Healthcare
Job Description
The Technical Denials Management Specialist II will review, research, and resolve claim denials and appeals for various insurance companies while identifying payment trends in an effort to maximize collections.

Requirements

  • Capable of reviewing Explanation of Benefits (EOB) from payors to determine how the claims were managed.
  • Contacting insurance carriers to check on the status of claims, appeals, and insurance verification.
  • Knowledgeable with payors including Managed Care, Commercial, Medicare, and Medicaid
  • Preparing/Submitting appeals related to denied services

Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Retirement Plan
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