Clinical Denials Specialist

Job Summary

A company is looking for a Clinical Denials Specialist.

Key Responsibilities

• Manage accounts receivable related to denied claims, including denial investigation and follow-up with insurance companies
• Compose non-clinical appeals and maintain compliance with federal, state, and local billing regulations
• Utilize payer portals for account follow-up and ensure timely processing of claims and adjustments

Required Qualifications

• High School diploma or equivalent
• One year of training in medical billing, coding, insurance processing, or related experience
• Associate degree in a related field is preferred
• Knowledge and experience with EPIC medical billing is preferred
• Experience with hospital billing is preferred