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Denials Specialist

Denials Specialist Job Description

Professionals in this role must have knowledge of ICD-10, CPT coding, medical terminology and Microsoft Office. Organizations seek those with strong problem-solving skills, the ability to work well under pressure, and the ability to communicate professionally, effectively and courteously with all types of constituencies. Three to five years of experience in healthcare billing or collections and a high school diploma or the equivalent is required, though most organizations prefer candidates with some college coursework completed.

Typical denials specialist duties:

Validating reasons for denying healthcare claims and ensuring that coding is accurateCoordinating consultations or account referrals when necessaryResearching and compiling necessary supporting documentation for appealsGenerating appeals and online reconsiderations as neededEscalating exhausted appeals efforts for resolution

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Salary for Denials Specialist
37500 - 50500
Low
37500
The candidate is new to the role or has limited experience and is building necessary skills.
Mid
43000
The candidate has moderate experience in the role, meets most requirements or has equivalent transferable skills, and may also have relevant certifications.
High
50500
The candidate has extensive experience and advanced skills for the role, and may also have specialized certifications.
Projected salaries for related positions Job title Low Mid High Revenue Cycle Director 86000 111250 132250 Revenue Cycle Analyst 51250 65750 75250 Medical Billing/Collections Manager 86500 96250 106000 Medical Billing/Collections Supervisor 61500 75250 87500 Claims Examiner Analyst 47250 57750 67750 Medical Collections Specialist 39500 43000 51250 Medical Biller 39500 42750 50000 Payment Poster 37500 42000 46750 Charge Entry Clerk 37000 40750 46250 Claims Processor – Healthcare 36750 40750 47250

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Our starting salary projections come from a rigorous, multistep process so that our numbers accurately reflect the marketplace. They are based on actual compensation for professionals Robert Half has matched with employers across the country and third-party job posting data from Textkernel that we use to independently validate the salary levels. Starting compensation—pay for someone new to a role—can vary significantly based on a candidate’s skills, experience and certifications, as well as other factors including industry, company size and revenue, and demand for the role. To reflect this variability, we report our salary data in three levels: low, mid and high.