Denial Management Specialist

Job Summary

A company is looking for a Denial Management Specialist to join their Revenue Cycle Management team in a remote capacity.

Key Responsibilities

• Review and analyze denied claims to identify root causes and resolution steps
• Collaborate with revenue cycle and clinical teams to correct errors and resubmit claims
• Track denial trends, appeal status, and outcomes with accurate documentation

Qualifications

• 5+ years of experience in healthcare billing, denial management, or revenue cycle operations
• Proficiency in MS Office (Excel, Word, Teams) and EHR systems (OnTarget preferred)
• Knowledge of Medicaid and managed care requirements for I/DD services preferred
• Associate or Bachelor's degree in Healthcare Administration, Business, or a related field preferred