Denials Management Specialist
Centers for Medicare & Medicaid Services
About this role
A Denials Management Specialist at Baptist Health resolves complex and aged accounts by validating dispute reasons, generating appeals for denied or underpaid claims, and researching payer regulations and billing rules. The role involves analyzing claims, reviewing medical records, and collaborating with teams to minimize ongoing denials and underpayments.
Skills
Qualifications
About Centers for Medicare & Medicaid Services
cms.govThe Centers for Medicare & Medicaid Services (CMS) is a federal agency within the U.S. Department of Health and Human Services (HHS) that administers the nation's major healthcare programs, including Medicare and Medicaid. CMS is responsible for overseeing the healthcare system in the United States, ensuring access to high-quality healthcare services and improving health outcomes for its beneficiaries. Through its initiatives and regulations, CMS aims to provide a more transparent healthcare system and reduce costs while enhancing care delivery across the nation.
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About Centers for Medicare & Medicaid Services
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
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