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Denials Specialist in Houston, TX

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 in Houston, TX
41625 - 56055
Low
41625
The candidate is new to the role or has limited experience and is building necessary skills.
Mid
47730
The candidate has moderate experience in the role, meets most requirements or has equivalent transferable skills, and may also have relevant certifications.
High
56055
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 95460 123488 146798 Revenue Cycle Analyst 56888 72983 83528 Medical Billing/Collections Manager 96015 106838 117660 Medical Billing/Collections Supervisor 68265 83528 97125 Claims Examiner Analyst 52448 64103 75203 Medical Collections Specialist 43845 47730 56888 Medical Biller 43845 47453 55500 Payment Poster 41625 46620 51893 Charge Entry Clerk 41070 45233 51338 Claims Processor – Healthcare 40793 45233 52448

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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.