Clinical Denial Management Assistant

Job Summary

A company is looking for a Clinical Denial/Utilization Management Assistant.

Key Responsibilities

• Communicates with Clinical Denial Management and Utilization Review teams to ensure timely addressing of denial letters
• Reviews and documents denials from payers into appropriate tracking tools
• Submits appeal documents accurately and maintains organization of clinical appeal records

Required Qualifications

• Experience in healthcare support services
• Knowledge of EPIC software and clinical denial processes
• Ability to manage multiple tasks and prioritize effectively
• Familiarity with insurance provider communication protocols
• High school diploma or equivalent; further education in healthcare is a plus