Complex Denial Assistant

Job Summary

A company is looking for a Complex Denial Assistant to support the complex denials staff in preparing and submitting appeals to insurance companies.

Key Responsibilities

• Investigate denial facts and research payor policies, regulations, and case law
• Apply reimbursement methodologies and payment policies to confirm payment in full
• Contact payors for follow-up on pending appeals and manage assigned worklist independently

Required Qualifications

• Paralegal certification preferred
• 1 year of experience in legal, insurance, or healthcare preferred
• Ability to meet performance standards and goals set by management
• Familiarity with HIPAA guidelines
• Experience in administrative duties or projects as assigned