Job Description
YOU were meant for Hopkins. What Awaits You? Career growth and development Diverse and collaborative working environment Generous Paid Time Off Tuition Reimbursement Affordable and comprehensive benefits package This is a remote role- Applicants working from MD, DC, VA, PA, DE and FL will be considered. Summary: Responsible for analyzing denied claims, identifying root causes, and preparing report
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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