Denial Management Specialist

Job Summary

To manage denial and accounts receivable (AR) processes, the full-time Denial Management Specialist will work remotely from 8 am to 5 pm, focusing on resolving outstanding denials, managing appeals, and identifying trends to prevent future denials.

Key responsibilities

• Research and resolve outstanding denials and complete necessary follow-up in a timely manner
• Identify denial trends and provide education to prevent future avoidable denials
• Initiate and manage insurance appeals while communicating trends to management

Required qualifications

• High School Diploma or equivalency
• 4 years of experience in medical billing with exposure to denials and appeals
• Knowledge of ICD9 and CPT-4 coding
• Familiarity with insurance explanation of benefits (EOB) and claims processing requirements
• Proficiency in Microsoft Office, particularly Excel and Word