Denial Management Specialist

Job Summary

Providing leadership and training within the Revenue Cycle Management Department, the full-time remote Denial Management Specialist will investigate and resolve denied or underpaid insurance claims while analyzing denial trends and maintaining accurate documentation.

Key responsibilities

• Investigate, resolve, and appeal denied or underpaid insurance claims
• Analyze denial trends and payer behavior to improve processes
• Assist in leadership coaching and training for Revenue Cycle Management team members

Required qualifications

• High School diploma required; Bachelor's Degree in Finance, Accounting, Healthcare Administration, or related field preferred
• 5+ years in revenue cycle management, with at least 1 year in a supervisory or team lead role required
• Experience with Billing Software, Clearinghouse, Payor Portals, and Excel required
• Strong analytical and strategic thinking skills
• Demonstrated ability to work independently and as part of a team in a fast-paced environment