# Job Position
**Position:** Denials Specialist - Remote

**Company:** Conifer Revenue Cycle Solutions

**Location:** Frisco, TX

**Country:** US

**Work Type:** Full-time

**Salary:** $18.60 - $28.00 an hour

**Company Rating:** 3.5/5 (2301 reviews)

**Posted:** "2024-08-02T08:16:21.000Z"

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## Job Description

JOB SUMMARY  Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims. 
  ESSENTIAL DUTIES AND RESPONSIBILITIES 
  Include the following. Others may be assigned. 
  
  Validate denial reasons and ensures coding in DCM is accurate and reflects the denial reasons. Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary, 
  Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. 
  Follow specific payer guidelines for appeals submission 
  Escalate exhausted appeal efforts for resolution 
  Work payer projects as di