Denials Follow Up Specialist

A company is looking for a Denials Follow Up Representative to manage and resolve denials in the revenue cycle process.

Key Responsibilities

Differentiates between clinical and technical denials through analysis of EOBs and denial letters

Contacts payers to negotiate resolutions on technical denials and manages the appeals process

Evaluates appeal outcomes and manages assigned accounts through timely follow-up and record keeping

Required Qualifications

Four-year degree preferred or equivalent experience in hospital-related billing / follow-up

Knowledge of and experience with managed care contracts

Experience in customer support or client issue resolution management

Strong analytical acumen and multi-tasking skills

Proficiency with MS Office