Denial Management Specialist

The Denial Management Specialist role is crucial for revenue cycle teams, responsible for investigating and resolving third-party insurance denials and outstanding claims. This role involves researching denials, appealing to payers, and ensuring timely payment while adhering to quality assurance guidelines and productivity standards. This position is fully remote and requires collaboration with insurance, patients, and staff.

Requirements

• Comprehending healthcare terminology and CPT-ICD10 codes.
• Understanding insurance plans and coordination of benefits.
• Strong communication and interpersonal skills.
• Problem-solving and decision-making capabilities.

Benefits

• Medical benefits
• Dental benefits
• 401K retirement plan