Denials Specialist

Job Summary

A company is looking for a Denials Specialist.

Key Responsibilities

• Reviews clinical authorization denials and determines actions to overturn them
• Monitors and completes claims on team appeals and claim investigations
• Prepares spreadsheets to identify issues, patterns, and trends for discussion

Required Qualifications

• High School Diploma/GED
• 2 years of professional or facility billing and/or collections experience
• Experience in a healthcare-related field
• Ability to read and understand basic medical record documentation
• Capable of interacting effectively with insurance carriers