Denials Management Specialist

Job Summary

Managing denials across all service lines, the full-time Denials Management Specialist will review and appeal denials, research account histories, and collaborate with various departments to ensure proper documentation and compliance, all while working remotely.

Key responsibilities

• Review and appeal denials, determining appropriate strategies based on account histories and payer policies
• Collaborate with multiple departments to gather supporting documentation and provide education on denial trends
• Draft and submit written and verbal appeals, utilizing IT systems for comprehensive information compilation

Required qualifications

• High School diploma or equivalent; Bachelor's degree preferred
• 3+ years of denials management or revenue cycle experience required
• Understanding of revenue cycle processes, including charge capture and billing regulations
• Knowledge of CPT, HCPCS, ICD codes, and modifiers
• Technical proficiency within Patient Accounting systems and Microsoft Suite applications