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 regarding denial letters and processes
• Reviews and documents payer denials using appropriate software and tracking tools
• Submits appeal documents to payers accurately and maintains organized clinical appeal records

Required Qualifications

• Experience in healthcare support services
• Familiarity with EPIC software or similar electronic medical record systems
• Ability to effectively track and manage clinical appeal processes
• Knowledge of insurance claims and payer communication
• High school diploma or equivalent; additional education in healthcare is a plus