Denials Follow Up Specialist

Job Summary

A company is looking for a Denials Follow Up Representative to manage and resolve denials in the revenue cycle process.

Key Responsibilities

• Differentiates between clinical and technical denials through analysis of EOBs and denial letters
• Contacts payers to negotiate resolutions on technical denials and manages the appeals process
• Evaluates appeal outcomes and manages assigned accounts through timely follow-up and record keeping

Required Qualifications

• Four-year degree preferred or equivalent experience in hospital-related billing/follow-up
• Knowledge of and 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