Denials Representative

A company is looking for a Denials Representative to manage payment denials and appeals.

Key Responsibilities

Monitor and review payment denials and process claims within assigned time frames

Utilize research tools to expedite resolution of denied claims

Assist in developing denial procedures and communicate changes in carrier policies

Required Qualifications

1 - 3 years of experience in physician medical billing focused on claim denials

Thorough knowledge of physician billing policies and healthcare reimbursement guidelines

High school diploma or equivalent

General knowledge of ICD and CPT coding

Computer literate with working knowledge of MS Excel