Lead Insurance Denials Specialist

Job Summary

Leading a team in a full-time capacity, the Lead Insurance Denials Specialist will coordinate billing communications, ensure timely collections of accounts receivable, and provide training and direction to the account representative team while working remotely from Monday to Friday, 8:00 am to 5:00 pm.

Key responsibilities

• Manage communications with patients, carriers, and stakeholders to expedite billing and collections
• Oversee denial prevention processes by analyzing trends and collaborating with team members for process improvements
• Provide training and support to Insurance Denials Specialists, fostering a collaborative team environment

Required qualifications

• High School diploma or equivalent
• 5+ years of experience in a medical billing, prior authorization, or payer claim processing department
• Knowledge of Workers Compensation, HMO's, PPO's, MA, and other third-party payers
• Intermediate proficiency with Microsoft Excel, PowerPoint, Word, and Outlook