Clinical Denial Specialist
Guidehouse•Birmingham, AL
1d•$44,000 - $74,000
About The Position
Clinical Denial Specialist will be under the direct supervision of the RN Supervisor/Manager. Focus will be placed on DRG Validation reviews and Clinical Denials. This candidate will need to be highly organized, adaptable to change and willing to collaborate on a day basis.
Requirements
- High school Diploma or equivalent
- Minimum 3+ years of experience in healthcare administration, insurance verification, or medical billing
- Ability to assist with end of month reporting (charts, graphs, pivot charts)
- Proficiency in EHR systems and insurance portal
- Microsoft Office Experience
Nice To Haves
- UM, Clinical Denials experience in a Hospital or Payer
- Medical Assistant preferred
- #LI-DNI
Benefits
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Position may be eligible for a discretionary variable incentive bonus
- Parental Leave
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
- Short-Term & Long-Term Disability
- Tuition Reimbursement, Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare Program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
