Job Description
Denials Specialist (Remote)Overview
We are seeking a highly analytical and detail-oriented Denials Specialist to join our team. This role is responsible for managing and resolving denied claims through in-depth investigation, payer communication, and cross-functional collaboration. Unlike traditional denial roles, this position requires strong critical thinking skills, as claims are processed outside of standard CPT billing and heavily managed through Excel-based workflows.
The ideal candidate is proactive, tech-savvy, and skilled in building relationships with payer contacts to drive successful claim resolution.
Key Responsibilities
+ Review and analyze denied claims by accessing payer and claims portals (e.g., Athena and payer-specific systems)
+ Identify root causes of denials, including copays, deductibles, coding issues, or service discrepancies
+ Categorize denied and unpaid claims into appropriate buckets based on denial reason
+ Coll...
We are seeking a highly analytical and detail-oriented Denials Specialist to join our team. This role is responsible for managing and resolving denied claims through in-depth investigation, payer communication, and cross-functional collaboration. Unlike traditional denial roles, this position requires strong critical thinking skills, as claims are processed outside of standard CPT billing and heavily managed through Excel-based workflows.
The ideal candidate is proactive, tech-savvy, and skilled in building relationships with payer contacts to drive successful claim resolution.
Key Responsibilities
+ Review and analyze denied claims by accessing payer and claims portals (e.g., Athena and payer-specific systems)
+ Identify root causes of denials, including copays, deductibles, coding issues, or service discrepancies
+ Categorize denied and unpaid claims into appropriate buckets based on denial reason
+ Coll...
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