Remote Denial Management Specialist II

The University of Texas Southwestern Medical Center; Dallas (TX); On-site; USD 60,000 - 75,000; Full time

Job summary

UT Southwestern Medical Center in Dallas seeks a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals within the Revenue Cycle Department. The role emphasizes follow-up and resolution of denied claims and does not involve direct billing or coding responsibilities.

The successful candidate will analyze EOBs, contact insurance carriers, and work with payors including Managed Care, Commercial, Medicare, and Medicaid to maximize collections.

Qualifications

• Education: High School Diploma or equivalent.
• 2 years' experience in medical claims recovery and/or collections.
• Ability to work in a fast-paced environment.
• Strong communication with patients, insurers, and staff.
• Knowledge of CMS 1500, ICD-9, CPT preferred.

Responsibilities

• Analyze payer denials by denial groupers and submit appeals.
• Contact patients and payers to resolve balances and underpaid claims.
• Make necessary adjustments as required by plan reimbursement.
• Serve as a liaison between clinical departments and MSRDP management.
• Complete special projects as assigned.
• Perform other duties as assigned.

Skills

Self-starter

Communication

Volume management

Fast-paced

Medical billing

Accounts receivable

Collections

CMS ICD CPT

Education

High School Diploma

Job description

UT Southwestern Medical Center in Dallas seeks a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals within the Revenue Cycle Department. The role emphasizes follow-up and resolution of denied claims and does not involve direct billing or coding responsibilities.

The successful candidate will analyze EOBs, contact insurance carriers, and work with payors including Managed Care, Commercial, Medicare, and Medicaid to maximize collections.