Medical Denials Specialist

Description
We are seeking a detail-oriented Medical Denials Specialist to join our healthcare revenue cycle team. In this role, you will be responsible for reviewing, analyzing and resolving denied medical claims to support timely reimbursement and reduce revenue loss. The ideal candidate will have experience working with insurance carriers, payer guidelines, appeals processes and healthcare billing systems.


Hours: Monday - Friday 8am -5pm


Key Responsibilities

+ Review and investigate denied or underpaid medical claims

+ Identify denial trends and root causes to support process improvement

+ Prepare and submit claim corrections, reconsiderations and appeals

+ Follow up with insurance companies regarding claim status and payment resolution

+ Verify coding, billing and documentation accuracy to ensure compliance with payer requirements

+ Collaborate with billing, coding, collections and clinical team...