Denials Mitigation Specialist I - Hybrid Claims Expert

MedStar Health; Baltimore (MD); Hybrid; USD 28,000 - 50,000; Full time

Job summary

MedStar Health in Maryland is seeking a Denials Mitigation Specialist for a full-time, dayshift role with a hybrid schedule (about 3 days on-site per week). You will review denials, determine root causes, and manage the appeals process to improve reimbursement.

Under supervision you will develop training, provide monthly updates to the Denials Mitigation Supervisor, and collaborate with Physician Practices and Hospital Ancillary Departments to reduce denials and errors.

Qualifications

• 1-2 years of experience in a medical setting with strong insurance knowledge and medical coding.
• Professional certification like CHAA, CHAM or CRCS preferred.

Responsibilities

• Manage and resolve denials and appeals to ensure effective denial management and prompt reimbursement.

Skills

Medical terminology

CPT/ICD-10 coding

UB04 & EOB knowledge

Payer applications & billing

Verbal & written communication

Basic computer skills

Education

High School Diploma or GED

Associate's degree preferred

Job description

MedStar Health in Maryland is seeking a Denials Mitigation Specialist for a full-time, dayshift role with a hybrid schedule (about 3 days on-site per week). You will review denials, determine root causes, and manage the appeals process to improve reimbursement.

Under supervision you will develop training, provide monthly updates to the Denials Mitigation Supervisor, and collaborate with Physician Practices and Hospital Ancillary Departments to reduce denials and errors.