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Denials Specialist in Macon, GA

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 Macon, GA
31125 - 41915
Low
31125
The candidate is new to the role or has limited experience and is building necessary skills.
Mid
35690
The candidate has moderate experience in the role, meets most requirements or has equivalent transferable skills, and may also have relevant certifications.
High
41915
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 71380 92338 109768 Revenue Cycle Analyst 42538 54573 62458 Medical Billing/Collections Manager 71795 79888 87980 Medical Billing/Collections Supervisor 51045 62458 72625 Claims Examiner Analyst 39218 47933 56233 Medical Collections Specialist 32785 35690 42538 Medical Biller 32785 35483 41500 Payment Poster 31125 34860 38803 Charge Entry Clerk 30710 33823 38388 Claims Processor – Healthcare 30503 33823 39218

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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.