Denial Management Specialist
EvergreenHealthKirkland, Washington, United States
Posted March 16, 2026
57660 - 92280 USD
Full Time
About the Company
EvergreenHealth is a public hospital district serving north King and south Snohomish counties since 1972. With two hospitals and numerous practices, they offer a wide range of services including primary care, urgent care, emergency care, and specialized treatments like cancer care and neurosciences. Known for their advanced and personalized medicine, EvergreenHealth also emphasizes community health outreach and education programs.
Job Description
Responsible for reviewing, appealing, and resolving payer claim denials to recover reimbursement for EvergreenHealth. Maintains accountability for final appeal determinations and financial outcomes of assigned denials.
Requirements
- Associate's degree in related area or equivalent combination of education and experience
- 5 years of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system.
- Experience in healthcare billing and reimbursement
- Experience with EMR system workflows
- Strong knowledge of health care services reimbursement methodologies
- Knowledge of claim forms and remittance advices, including coding and billing practices
- Ability to interpret contract language
- Working knowledge of medical terminology
Benefits
- Medical, vision and dental insurance
- On-demand virtual health care
- Health Savings Account
- Flexible Spending Account
- Life and disability insurance
- Retirement plans (457(b) and 401(a) with employer contribution)
- Tuition assistance for undergraduate and graduate degrees
- Federal Public Service Loan Forgiveness program
- Paid Time Off/Vacation
- Extended Illness Bank/Sick Leave
- Paid holidays
- Voluntary hospital indemnity insurance
- Voluntary identity theft protection
- Voluntary legal insurance
- Pay in lieu of benefits premium program
- Free parking
- Commuter benefits
