Denials and Appeals Representative

Job Summary

A company is looking for a Denials Representative.

Key Responsibilities

• Process follow-up on denied claims and manage appeals to secure payment
• Research denials thoroughly and ensure compliance with billing regulations
• Maintain productivity standards and participate in team efforts to achieve goals

Required Qualifications

• Approximately two+ years of experience with insurance denial processes
• High school diploma or equivalent required; some college coursework preferred
• Knowledge of health insurance correspondence and denial processing
• Understanding of physician billing guidelines for various payers
• Proficiency in billing systems and Microsoft Office applications