Denial Management Specialist

Job Summary

Responsible for denial and accounts receivable management, the full-time Denial Management Specialist will work remotely from 8 am to 5 pm, focusing on resolving outstanding denials, managing insurance appeals, and identifying denial trends.

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 all insurance appeals promptly and manage outstanding accounts receivable related to denials

Required qualifications

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