Denial Management Specialist

Job Summary

Responsible for denial and accounts receivable management, the full-time Denial Management Specialist will work remotely to research and resolve outstanding denials, manage insurance appeals, and communicate trends to improve departmental performance.

Key responsibilities

• Research and resolve outstanding denials within the work queue, ensuring timely follow-up
• Identify denial trends and educate staff on steps to prevent future avoidable denials
• Initiate and manage all insurance appeals in a timely manner

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
• Proficient in Microsoft Office, particularly Excel and Word