Demo

DME Denials/Appeals Specialist x3

Prestige Staffing - Healthcare Jobs - Revenue Cycle
Miramar, FL Contractor
POSTED ON 1/10/2025 CLOSED ON 2/9/2025

What are the responsibilities and job description for the DME Denials/Appeals Specialist x3 position at Prestige Staffing - Healthcare Jobs - Revenue Cycle?

JobID: 48012

Prestige Staffing has been tasked by one of our best clients to find Medical Insurance Denials/Appeals Representative to interview and go to work ASAP! Candidate must be hard working and a self-starter. If you want the opportunity to work in a rewarding and dynamic environment, this is your chance. This is a temp to perm position.

Pay: $18-20/hr

Location: Onsite, Miramar, FL

JOB RESPONSIBILTIES:

  • Identify, review and resolve denials manually and/or electronically by using the designated information technology on a timely basis. Reviews EOBs and remittance reports for denials, errors and resubmits claims with correct data
  • Confirm denial reasons.
  • Generate an appeal based on the dispute reason and contract terms specific to the payors
  • Follow specific payor guidelines and medical policies for appeal submissions
  • Escalate exhausted appeal efforts to the appropriate parties 
  • Research and analyze denial data and coordinate denial recovery responsibilities
  • Review patient medical records and utilize regulatory and payor knowledge to Identify, analyze, and research frequent root causes of denials and develops corrective action plans for resolution
  • Document all account activity on each account through descriptive account notes in employer’s system
  • Request documentation from clients as required to resolve accounts
  • Adhere to all policies and procedures

QUALIFICATIONS:

  • High School Diploma.
  • Three (3) years job related experience in Business Office or Central Business Office (CBO).
  • Working experience with medical terminology and claim denials / underpayments
  • Proficiency in Microsoft Office products (e.g. Word and Excel)
  • Demonstrates understanding of medical terminology
  • Knowledge of CPT, HCPCS, ICD-10 coding procedures
  • Good communications skills, both written and oral
  • Knowledge of medical billing and collection practices
  • In-depth working knowledge of Commercial, Managed Care and Government insurance carriers
#zr-rep

Salary : $18 - $20

Clinical Denials Specialist-Denial Management- Finance-FT- BHC-10773
Broward Health -
Fort Lauderdale, FL
Clinical Denials Specialist-Denial Management- Finance-FT -BHC-#11264
Broward Health -
Fort Lauderdale, FL
Credit Balance Rep x3
Prestige Staffing - Healthcare Jobs - Revenue Cycle -
Miramar, FL

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

What is the career path for a DME Denials/Appeals Specialist x3?

Sign up to receive alerts about other jobs on the DME Denials/Appeals Specialist x3 career path by checking the boxes next to the positions that interest you.
Income Estimation: 
$41,569 - $51,697
Income Estimation: 
$59,609 - $76,680
Income Estimation: 
$49,356 - $64,945
Income Estimation: 
$59,609 - $76,680
Income Estimation: 
$40,779 - $52,992
Income Estimation: 
$49,356 - $64,945
This job has expired.
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at Prestige Staffing - Healthcare Jobs - Revenue Cycle

Prestige Staffing - Healthcare Jobs - Revenue Cycle
Hired Organization Address Atlanta, GA Contractor
JobID: 44571 Patient Intake Coordinator Location: Chamblee, GA (Remote but needs to be local for training) Pay: $18-21/h...
Prestige Staffing - Healthcare Jobs - Revenue Cycle
Hired Organization Address Atlanta, GA Contractor
JobID: 48359 Remote Hospital AR Recovery Rep (EST or CST) Prestige Staffing is searching for remote hospital Recovery Sp...
Prestige Staffing - Healthcare Jobs - Revenue Cycle
Hired Organization Address Conyers, GA Contractor
JobID: 49013 Prestigious Medical Company in Conyers, GA is looking for Billing Specialist Prestige Staffing is searching...
Prestige Staffing - Healthcare Jobs - Revenue Cycle
Hired Organization Address Atlanta, GA Contractor
JobID: 49642 Job Title: Insurance Verification and Authorization Representative Location: Remote Employment Type: Full-T...

Not the job you're looking for? Here are some other DME Denials/Appeals Specialist x3 jobs in the Miramar, FL area that may be a better fit.

Technical Denials Specialist-Finance-BHC-#18160

Broward Health, Fort Lauderdale, FL

AI Assistant is available now!

Feel free to start your new journey!