Denial Management Specialist

Job Summary

Reviewing and analyzing insurance denials, the full-time Denial Management Specialist will identify reasons for claim denials, communicate with insurance companies, and ensure timely resolution of denied claims in an on-site environment.

Key responsibilities

• Review and analyze insurance denials and requests for clarification
• Communicate with insurance companies and healthcare providers to resolve complex denial cases
• Maintain accurate documentation of denial management activities and outcomes

Required qualifications

• High school diploma or equivalent
• Relevant certifications such as Certified Denial Management Specialist (CDMS) preferred