Denial Management Specialist

Job Summary

To support orthopedic services, the full-time Denial Management Specialist will manage denial appeals, analyze claims data, and collaborate with healthcare teams in a remote setting.

Key responsibilities

• Manage and resolve denial appeals for orthopedic services
• Analyze claims data to identify trends and improve processes
• Collaborate with healthcare teams to ensure compliance and accuracy in claims submissions

Required qualifications

• Experience in denial management or claims processing in a healthcare setting
• Knowledge of orthopedic services and related coding practices
• Proficiency in data analysis and reporting tools
• Strong understanding of healthcare regulations and compliance
• Ability to work independently in a remote environment