Job Description
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time). Pay Range: $20.10 - $26.13 Scheduled Weekly Hours: 40 Position Overview The Technical Denial Specialist is responsible for research, analysis, and resolution of hospital technical denials within the denials team scope. This role focuses on non-clinical denial types such as authorization and notification issues, payer processing errors, and other technical claim adjudication issues. Ensures denied claims are thoroughly reviewed, corrected, resubmitted, or appealed as appropriate to maximize reimbursement and reduce repeat denial occurrences. MINIMUM REQUIREMENTS Education: High school diploma or equivalent required. Associate or bachelor's degree in healthcare or business-related field preferred. Experience: Three years' hospital billing, denials, or claims resolution experience. Demonstrated experience working technical denial types required. Other Creden