Denials Follow Up Representative

Job Summary

A company is looking for a Denials Follow Up Rep to manage and resolve claims denials in the healthcare revenue cycle.

Key Responsibilities

• Differentiates between clinical and technical denials through EOBs, denial letters, and data mining
• Contacts payers to negotiate resolutions on technical denials and appeals
• Manages assigned workload with timely follow-up and accurate record keeping

Required Qualifications

• Four-year degree preferred or equivalent experience in hospital billing/follow-up
• Knowledge of/experience with managed care contracts
• Experience in customer support or client issue resolution management
• Strong analytical acumen and multi-tasking skills
• Proficiency with MS Office