Denials Follow Up Representative

Job Summary

Managing a portfolio of denials, the full-time Denials Follow Up Representative will differentiate between clinical and technical denials, negotiate resolutions with payers, and manage appeals processes while working remotely.

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 using various supporting documentation
• Manages assigned workload of accounts through timely follow-up and accurate record-keeping

Required qualifications

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