Denials Senior Specialist

Job Summary

A company is looking for a Denials Senior Specialist.

Key Responsibilities

• Act as a liaison between the Business Office, Legal Department, and outside counsel regarding outstanding litigation
• Coordinate legal analysis for denied, underpaid, and unpaid managed care accounts and compile necessary documentation for litigation
• Review existing documentation to verify claim balance calculations and ensure integrity in supporting documentation

Required Qualifications

• High school diploma or equivalent
• Some college education is helpful
• 3-5 years of experience in medical billing, collections, appeals, legal department, and/or contract interpretation
• Intermediate skills in Microsoft Word and Excel
• Ability to work in a high-volume environment at a fast pace