Denial Management Specialist Ellis County Coalitn For Hlth
Overview
Hope Health seeks a Denial Management Specialist to improve revenue cycle performance. This full-time position in Dallas Texas offers onsite work with benefits including 401(k) matching dental health and vision insurance. The role focuses on owning claim resolution and driving process improvements.
What You'll Do7
- 1Review and resolve denied and underpaid claims across Medicare Medicaid and commercial payers
- 2Draft and submit timely appeals with clinical and billing documentation
- 3Identify denial trends and recommend workflow changes to prevent recurrence
- 4Follow up with payers on outstanding appeals and escalate unresolved cases
- 5Collaborate with billing coding and front-desk staff to fix upstream errors
- 6Track denial outcomes and report trends to leadership for quality improvement
- 7Stay current on payer policy changes affecting FQHC billing
Requirements6
- 12+ years experience in medical billing or denial management within an FQHC or community health setting
- 2Strong understanding of payer appeal processes CPT/ICD-10 coding and EOB/ERA interpretation
- 3Experience with practice management systems such as eClinicalWorks or NextGen
- 4Certified Professional Coder CPC or Certified Revenue Cycle Representative CRCR preferred
- 5Education in healthcare administration or related field
- 6Analytical skills for interpreting denial patterns and translating findings into process improvements
Salary Insight
Salary not disclosed in listing
Location
Required Skills
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