CPC Certified Denials Specialist

A company is looking for a Sr Denials Management Specialist-Remote. Key Responsibilities Review and resolve daily claim scrubbers edits based on coding/billing guidelines Research and resolve outstanding denials and manage insurance appeals in a timely manner Identify denial trends and educate on prevention steps, while managing outstanding AR related to denials Required Qualifications, Training, and Education High School Graduate with some college education 5+ years of experience in medical billing/collections, specifically with denials and appeals Extensive knowledge of ICD9 and CPT-4 coding and modifiers Familiarity with insurance explanation of benefits (EOB) and claims processing requirements CPC certification for Professional Billing Services or CRCA/CPC-H certification for Hospital Billing Services

Jun 20, 2025 - 13:50

A company is looking for a Sr Denials Management Specialist-Remote. Key Responsibilities Review and resolve daily claim scrubbers edits based on coding/billing guidelines Research and resolve outstanding denials and manage insurance appeals in a timely manner Identify denial trends and educate on prevention steps, while managing outstanding AR related to denials Required Qualifications, Training, and Education High School Graduate with some college education 5+ years of experience in medical billing/collections, specifically with denials and appeals Extensive knowledge of ICD9 and CPT-4 coding and modifiers Familiarity with insurance explanation of benefits (EOB) and claims processing requirements CPC certification for Professional Billing Services or CRCA/CPC-H certification for Hospital Billing Services