Job Description Summary
The denial specialist will analyze and research claim authorization denials and determine the appropriate course of action including but not limited to filing appeals and or filing adjustments.

Entity
Medical University Hospital Authority (MUHA)

Worker Type
Employee

Worker Sub-Type
Regular

Cost Center
CC002309 SYS - Hospital Patient Accounting

Pay Rate Type
Hourly

Pay Grade
Health-20

Scheduled Weekly Hours
40

Work Shift

Job Description

The denial specialist will analyze and research claim authorization denials and determine the appropriate course of action including but not limited to filing appeals and or filing adjustments. Document and monitor the status of appeal claims and follow up with payor representatives as needed to expedite resolution. Identify denial trends, root causes and make recommendations for process improvement. Ensure legal compliance by following company policies, procedures, guidelines, and as well as federal insurance regulations.

Additional Job Description
Education: High School Degree or Equivalent Work Experience: 0-6months

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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