Denials Management Specialist
Rady Children's Hospital - Rady Children's Plaza - San Diego, CA

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Following payor guidelines, legislation and regulations the Denials Management Specialists is responsible to track, trend and provide root cause analysis of denials received by payors. The Specialist works to eliminate denials allowing the organization to realize a decrease in the volume of denied accounts and dollars. Compiles data on inappropriate high volume denial types and works with payors to resolve cause of denials. Assists department leadership with ad-hoc reports and special projects.

MINIMUM QUALIFICATIONS

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High school diploma, GED, or foreign equivalent

Two years of medical billing experience

Working knowledge of medical terminology, MS applications and ability to navigate internet

Possess effective oral and written communication skills, effective time management skills and the ability to multi-task

PREFERRED QUALIFICATIONS

:

Associate's Degree in business, healthcare, administration or related field

EOE/M/F/D/V

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