Medical-Denial Management Specialist - Remote

Overview

The Medical-Denial Management Specialist analyzes and resolves healthcare insurance claim denials by investigating reasons, preparing appeals, and collaborating with billing staff to ensure proper reimbursement.

In Short

• Analyze and resolve insurance claim denials
• Prepare appeals and communicate with payers
• Collaborate with billing staff for reimbursement
• Follow policies for timely follow-up on claims
• Document claims processing rules
• Generate electronic and hard copy claims
• Obtain necessary documentation for claims
• Communicate effectively with departments
• Enter demographic data into billing software
• Assume additional responsibilities as needed

Requirements

• Two years of experience in medical collections or billing
• Familiarity with ICD-10 coding and HIPAA regulations
• Proficient in Epic and Microsoft Office
• Excellent communication skills
• High School diploma required

Benefits

• Opportunity to work in a reputable orthopedic practice
• Collaborative team environment
• Professional development opportunities
• Flexible remote working options
• Comprehensive benefits package