Denials Follow-Up Specialist

A company is looking for a Denials Follow-Up Representative to manage and resolve healthcare billing denials. 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 workload with timely follow-up and accurate record keeping Required Qualifications Four-year degree preferred or equivalent experience in hospital billing/follow-up Knowledge of or experience working with managed care contracts Experience in customer support or client issue resolution management Strong analytical skills Proficiency with MS Office

Mar 7, 2025 - 21:33

A company is looking for a Denials Follow-Up Representative to manage and resolve healthcare billing denials. 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 workload with timely follow-up and accurate record keeping Required Qualifications Four-year degree preferred or equivalent experience in hospital billing/follow-up Knowledge of or experience working with managed care contracts Experience in customer support or client issue resolution management Strong analytical skills Proficiency with MS Office