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Careline Health Group

Grand Rapids, Michigan

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Canfield, Ohio

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Denials Management Rep
The Denials Management Rep is responsible for managing the process of completing collection and accounts receivable activities for denials and for ensuring all hospital collection-related activities meet department requirements Employment Qualifications The following qualifications are the minimum necessary to adequately perform this job. However, any equivalent combination of experience, education and training which provides the necessary knowledge, skills and abilities would be acceptable, subject to any legal and/or regulatory requirements. RESPONSIBILITIES: Reviewing medical necessity, responding to authorization concerns, and/or reconciling coverage-related issues. The denial management specialist also works to prevent fu


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