Denials Management Specialist

Job Summary

Managing denial and accounts receivable (AR) processes, the full-time Denials Management Specialist will work remotely to resolve outstanding denials, manage insurance appeals, and identify denial trends to enhance departmental efficiency.

Key responsibilities

• Research and resolve outstanding denials while ensuring timely follow-up
• Identify denial trends and provide education to prevent future occurrences
• Initiate and manage insurance appeals in a timely manner

Required qualifications

• High School Diploma or equivalency
• 4 years of experience in medical billing with exposure to denials and appeals
• Knowledge of ICD9 and CPT-4 coding
• Familiarity with insurance explanation of benefits (EOB) and remittance codes
• Proficiency in Microsoft Office, particularly Excel and Word