Position Summary
The Denials Specialist is responsible for analyzing, appealing, and resolving denied or underpaid insurance claims. This role requires a detailed understanding of payer policies, strong follow-up skills, and collaboration across billing, coding, and clinical teams to reduce denial rates, secure reimbursement, and improve cash flow.
Key Responsibilities
Denial Analysis & Resolution
Payer Follow-Up
Collaboration & Documentation
Performance Monitoring
Qualifications
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