Medical Billing Denial Management Specialist
Company: Medical Network of Alaska
Location: Wasilla
Posted on: May 10, 2025
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Job Description:
MNA Delivers leadership, support, and guidance to healthcare
facilities of all sizes across multiple specialists with the
primary goal of providing accessibility, value, and quality medical
administrative support services.
Candidates should take the time to read all the elements of this
job advert carefully Please make your application promptly.
Schedule: Monday-Friday; 8:00 am-5:30 pm
What You'll Do:
Responsible for validating dispute reasons following Explanation of
Benefits (EOB) review, escalating payment variance trends or
issues, and generating appeals for denied or underpaid claims.
Validate denial reasons and ensure coding in EMR accurately
reflects the denial reasons.
Generate appeals based on the dispute reason and contract terms
specific to the payor.
Follow specific payer guidelines for appeals submission.
Work payer projects as directed.
Research contract terms/interpretation and compile necessary
supporting documentation for appeals.
Perform research, determine corrective actions, and take
appropriate steps to route account appropriately.
Escalate denial or payment variance trends for payor
escalation.
What You Need For This Job:
High School Diploma or general education degree
One-year related billing experience and/or training; or equivalent
combinations of education and experience.
CPC-A/CPC preferred.
Must reside in or near Wasilla, Alaska.
Ability to read and interpret documents such as safety rules,
operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or
employees of the organization.
Ability to add, subtract, multiple and divide in all units of
measure, using whole numbers, common fractions and decimals.
To perform this job successfully, an individual should have
knowledge of Database software, internet software and work
processing software.
Ability to regularly sit, stand, walk, use hands, or feel and talk
and hear. Ability to occasionally sit, reach with hands and arms;
stoop; kneel; crouch, or crawl.
Must be able to lift and/or move 50 lbs.
Specific vision abilities required by this job include close
vision, distance vision, color vision, depth perception, and the
ability to adjust focus.
The noise level in the work environment is usually moderate.
Reasonable accommodations may be made to enable individuals with a
disability to perform essential functions.
What You'll Love About Us:
Great Company Culture- We embrace diverse perspectives and prove
the freedom to grow, innovate and create.
Rest and Relaxation- Enjoy 15 days of paid time off with an
increase after five years and six paid holidays!
Health Benefits- Access to medical, dental, and vision plans, with
HSA and FSA options, as well as short- and long-term disability
coverage. We also provide $25,000 in employer-paid life insurance
for added peace of mind.
Prepare for the future- Fidelity 401(k) with a generous employer
match of up to 4.5% and access to a personal financial planner.
Healthy Working Environment- We prioritize a safe, empowering, and
inclusive work culture.
Because our team members are trusted to handle sensitive
information, we require all candidates that receive and accept
employment offers to complete a background check and drug screen
before official employment.
Medical Network of Alaska, LLC is an equal opportunity employer,
and all qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, national
origin, disability status, protected veteran status or any other
characteristic protected by law.
Keywords: Medical Network of Alaska, Anchorage , Medical Billing Denial Management Specialist, Healthcare , Wasilla, Alaska
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