Sprinter Health
Healthcare
Denial&AppealSpecialist
“Denial & Appeal Specialist at Sprinter Health. Skills: Denial management, Appeals, 835 remittance analysis, Coding errors. Manage denial buckets. Work denial buckets”
What You'll Achieve.
Improve denial rates
Industry & Context.
Root cause analysis
What They're Looking For.
Must Have
3+ years medical billing, Hands-on Medicaid managed care, Hands-on Medicare Advantage payers, Proficiency reading 835 files, Proficiency reading CARC codes, Proficiency reading RARC codes, CMS-1500 billing, UB-04 billing, Written communication skills
Nice to Have
Coding experience, Working knowledge ICD-10-CM, Working knowledge CPT, Working knowledge HCPCS Level II, Identify coding errors, CPC credential, CCA credential, CCS credential, Equivalent hands-on experience, Experience home health billing, Experience preventive care billing, Experience value-based care billing, Experience lean RCM environment, Experience startup RCM environment
What You'll Do.
Manage denial buckets
Escalate to peer review
Analyze 835 remittance files
Identify denial reason codes
Identify coding-driven denial trends
Flag upstream for correction
Collaborate with RCM platform team
Coordinate shared work queues
Maintain division of ownership
Build denial tracking log
Maintain denial tracking log
Surface denial trends
Provide actionable recommendations
Close loop systemic issues
How You'll Work.
Team & Collaboration
Internal stakeholders; RCM platform team; Revenue Cycle Specialist
Communication Scope
Written communication
Applying for this Denial & Appeal Specialist role?
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How to Apply on Ashby
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What do employees actually say about Sprinter Health?
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