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Randstad US medical appeals and denials specialist in dallas, Texas

medical appeals and denials specialist.

  • dallas , texas

  • posted april 30, 2024

job details

summary

  • $20 - $20.93 per hour

  • temp to perm

  • high school

  • category office and administrative support occupations

  • referenceAB_4525137

job details

If you in the market for a career change, then this is the position for you! Having the ability and the opportunity to work from home after all training has been completed is ideal. You must be available for meetings, trainings, etc., living in the Greater Dallas Fort Worth area. If this position fits your life style, then look no further. Must have at least 2 years of backend appeals and denials experience.

salary: $20 - $20.93 per hour

shift: First

work hours: 8 AM - 4 PM

education: High School

Responsibilities

Will be responsible for outstanding A/R in the TD Authorization work queues. The expected duties are to resolve denials received from payors to assist the departments with meeting their goal of 95% or greater collection rate. Will be expected to identify trends and resolutions and report them to management which has an impact on the days in the A/R and collection rates for various revenue location. The production expectation for the TD Authorizations work queues is an average of 35 invoices per day.

Knowledgeable with payors including Managed Care, Commercial, Medicare, and Medicaid

·Knowledge of CPT codes, Modifiers

·Knowledge of Payor filing and appeal deadlines.

·Ability to research denials

·Ability to compose and file appeals/reconsiderations

·Managed care, Medicaid and Commercial follow-up

·Familiar with a production (metric driven) environment

·Understanding of Revenue Cycle

Skills

  • EHR/Epic

  • Medical Billing

  • ICD-10

  • Medical Billing - Denials

  • Claims Processing

  • HIPAA

Qualifications

  • Years of experience: 2 years

  • Experience level: Entry Level

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

Applications accepted on ongoing basis until filled.

get in touch

we are here to help you with your questions.

TT

tansia tate

  • +1 469 468 8418 (tel:+1 469 468 8418)

  • tansia.tate@randstadusa.com

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