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Medical Claims Denial & Appeals Specialist

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Logo of Dayforce

Dayforce

5001 - 10000 employees

πŸ‘₯ HR Tech

☁️ SaaS

🏒 Enterprise

πŸ’° $1G Post-IPO Debt - Dayforce on 2024-03

HR Tech β€’ SaaS β€’ Enterprise

Dayforce is a cloud-based human capital management (HCM) platform developed by Ceridian. It combines payroll, HR, workforce management (time and attendance, scheduling), benefits administration, and talent management into a single SaaS application intended for HR teams and enterprise customers. Dayforce is sold primarily as a B2B solution to organizations seeking integrated, cloud-hosted workforce and payroll software.

πŸ“‹ Description

β€’ Resolve insurance claim denials for assigned departments β€’ Generate written appeals to carriers β€’ Manage complicated denied claims β€’ Analyze to recognize trends in denied claims β€’ Communicate denial patterns to management β€’ Process large volume of denials

🎯 Requirements

β€’ 3-5 years experience in medical practice billing β€’ ICD-10 and CPT coding assessment skills β€’ CPC certification preferred β€’ Intermediate PC software experience β€’ Advanced verbal and written communication skills β€’ Solid understanding of claims denial appeal logic

πŸ–οΈ Benefits

β€’ Generous leave β€’ Health plans β€’ Retirement contributions

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πŸ“‹ Claims Specialist

πŸš«πŸ‘¨β€πŸŽ“ No degree required