Average Salary for Jobs with Denial Administration Skills

Manages the medical claims review function to ensure accurate, compliant, and clinically appropriate adjudication of medical claims. Oversees a team of reviewers, examiners, or clinical staff responsible for evaluating coverage, coding, and medical necessity. Develops review procedures, quality standards, and performance metrics to ensure consistency and regulatory compliance. Reviews complex, hig... View job details

Processes reimbursement transactions to ensure accurate and timely payment, adjustment, and reconciliation of claims. Reviews claim and payment information to verify policy details, validate charges and coding, and ensure claim accuracy and completeness. Coordinates with payers, providers, and internal departments to resolve reimbursement issues. Develops and generates reports on claim statuses, r... View job details

Responsible for reviewing and analyzing the most complex medical applications for policies like life, disability, or critical illness health insurance. Performs an in-depth evaluation of an applicant's medical history, including a comprehensive review of medical records, detailed health questionnaires, laboratory and imaging results, prescription histories, and/or medical exam findings. Utilizes u... View job details

Leads and directs the overall underwriting strategy and operations. Oversees the team responsible for reviewing and analyzing risk characteristics on insurance applications, renewals, and change requests. Establishes financial control guidelines, tools, administrative standards, and best practices and ensures they are used to accept, reject, or mitigate risk for applications. Researches competitor... View job details

Responsible for reviewing and analyzing the most complex medical applications for policies like life, disability, or critical illness health insurance. Performs an in-depth evaluation of an applicant's medical history, including a comprehensive review of medical records, detailed health questionnaires, laboratory and imaging results, prescription histories, and/or medical exam findings. Utilizes u... View job details