What are the responsibilities and job description for the Medical Claims Denials Specialist position at Addison Group?
Job Title: Medical Claims Denial Specialist
Location: Oklahoma City, OK (Onsite)
Schedule: Flexible start/stop times between 7:00 AM – 5:30 PM
Industry: Behavioral Health Services
Hourly Pay: $18-19/hour
Role Overview:
The Medical Claims Denial Specialist will play a critical role in ensuring accurate claims processing, efficient denial resolution, and maintaining low aged A/R. This position is ideal for a dependable and adaptable professional looking to grow within a dynamic and expanding organization.
Key Responsibilities:
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran, in accordance with applicable federal, state, and local laws. Reasonable accommodation is available for qualified individuals with disabilities upon request.
IND 004-008
Location: Oklahoma City, OK (Onsite)
Schedule: Flexible start/stop times between 7:00 AM – 5:30 PM
Industry: Behavioral Health Services
Hourly Pay: $18-19/hour
Role Overview:
The Medical Claims Denial Specialist will play a critical role in ensuring accurate claims processing, efficient denial resolution, and maintaining low aged A/R. This position is ideal for a dependable and adaptable professional looking to grow within a dynamic and expanding organization.
Key Responsibilities:
- Claims Denial Management:
- Research and resolve medical claim denials.
- Evaluate and rebill claims as necessary to secure accurate payments.
- A/R Management:
- Maintain aged A/R below 120 days.
- Collaboration & Communication:
- Communicate with Business Office and clinical staff regarding claim coverage and denials.
- Actively participate in staff meetings, workshops, and training sessions.
- Administrative Support:
- Ensure compliance with agency policies and maintain accurate claim records.
- Experience:
- 1 year of experience in medical claim denials.
- Proficiency in reading and interpreting Explanation of Benefits (EOBs).
- Technical Skills:
- Basic proficiency in Microsoft Excel and Outlook.
- Soft Skills:
- Dependable and adaptable to change in a growing organization.
- Team-oriented with strong communication skills.
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran, in accordance with applicable federal, state, and local laws. Reasonable accommodation is available for qualified individuals with disabilities upon request.
IND 004-008
Salary : $18 - $19
