Remote Denial Management Specialist (WA)

EvergreenHealth; Kirkland (WA); Remote; USD 39,716 - 63,562; Full time

Benefits offered by this job

Medical, vision, and dental insurance

On-demand virtual health care

Health Savings Account

Flexible Spending Account

Life and disability insurance

Retirement plans with employer contribution

Tuition assistance

Paid Time Off/Vacation

Paid holidays

Commuter benefits

Job summary

A regional healthcare provider is looking for a Denial Management Specialist to manage payer claim denials and appeal strategies. This remote position requires 5 years of experience in denial management within a healthcare setting, along with an associate degree. Key responsibilities include developing appeal strategies, collaborating with clinical departments, and ensuring accurate documentation. The role offers a robust suite of benefits, including insurance options and educational assistance, to support staff well-being.

Qualifications

• 5 years of experience in denial management or utilization review in a healthcare system.
• Strong knowledge of healthcare reimbursement methodologies and coding practices.
• Ability to interpret contract language and analyze denial trends.

Responsibilities

• Review and validate recommended next steps for claim denials.
• Develop and submit timely appeals with supporting documentation.
• Collaborate with departments to gather supporting documentation.
• Monitor payer websites for changes impacting denial management.

Skills

Denial management

Healthcare billing and reimbursement

EMR system workflows

Knowledge of medical terminology

Education

Associate's degree in a related area

Bachelor's degree (Desired)

Tools

Epic EMR

Job description

A regional healthcare provider is looking for a Denial Management Specialist to manage payer claim denials and appeal strategies. This remote position requires 5 years of experience in denial management within a healthcare setting, along with an associate degree. Key responsibilities include developing appeal strategies, collaborating with clinical departments, and ensuring accurate documentation. The role offers a robust suite of benefits, including insurance options and educational assistance, to support staff well-being.