Denial Prevention Specialist
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Job Location:
Weatherford, TX - USA
Monthly Salary:
Not Disclosed
Posted on:
8 hours ago
Vacancies:
1 Vacancy
Job Summary
- Application Deadline: Feb. 28 2026
- Weatherford
- Hybrid
- Hourly salary: $22
Job Description
Responsibilities :
- The successful candidate will review research and resolve claim denials and appeals for various insurance companies while identifying payment trends in an effort to maximize collections. A successful candidate should have but not be limited to the following skills:
Capable of reviewing Explanation of Benefits (EOB) from payors to determine how the claims were managed.
Contacting insurance carriers to check on the status of claims appeals and insurance verification.
Knowledgeable with payors including Managed Care Commercial Medicare and Medicaid
Preparing/Submitting appeals related to denied services - Analyze payer denials by denial groupers and submit appeals.
- Contact patients and/or third party payers to resolve outstanding insurance balances and underpaid claims.
- Make necessary adjustments as required by plan reimbursement.
- Functions as a liaison between clinical departments and MSRDP management team.
- Completes special projects as assigned.
- Performs other duties as assigned.
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
About the company SGA is the technology and resource solutions provider driven to stand out. We are a certified women-owned business. We provide contingent staffing, direct placement, and professional and managed services to help businesses and people succeed. Each year, we match prof ... View more
