Denial Specialist

Job Summary

A company is looking for a Remote Denial Specialist.

Key Responsibilities

• Review denied claims and determine appropriate actions for resolution
• Interact with payers to clarify reasons for denial and necessary corrections
• Create appeal cases and collaborate with the coding team for claim corrections

Required Qualifications, Training, and Education

• Minimum of 2 years' experience in medical billing denials
• Knowledge of Explanation of Benefits (EOBs)
• High School diploma or equivalent (GED) required; continuing education preferred
• Ability to navigate multiple computer screens and browsers efficiently
• Experience working in a fast-paced team environment