Insurance Denials Specialist

Job Summary

Working remotely in a full-time capacity, the Insurance Denials Specialist III will research denied claims, communicate with various stakeholders to expedite billing and collections, and contribute to team efforts aimed at improving financial outcomes.

Key responsibilities

• Review and analyze denied claims to determine reasons for denial and take necessary actions for resolution
• Communicate effectively with patients, insurance carriers, and team members to facilitate timely billing and collections
• Assist in mentoring new specialists and recommend process improvements for enhanced workflow efficiency

Required qualifications

• High School diploma or equivalent
• 4 years' experience in a medical billing, prior authorization, or payer claim processing department, or 2+ years as an Insurance Denials Specialist within the organization
• Intermediate proficiency with Microsoft Excel, PowerPoint, Word, and Outlook
• Proficient in using computer systems and typing
• Knowledge of ICD-10, CPT, and HCPCS codes is preferred