Denials Specialist

To maximize reimbursement from contracted payers, the full-time Denials Specialist will analyze, track, and trend denials while executing the appeal process and collaborating with various departments remotely. Key responsibilities Evaluate denied accounts and assign them for resolution while identifying repetitive issues for preventative solutions Develop and maintain strong working relationships with hospital departments and payers to facilitate successful appeals and resolve denials Track the status of appeals and maintain organized records to ensure compliance with established timelines Required qualifications Associate's degree in accounting, business office practices, computer science, or a related field, or equivalent experience Three to five years of experience in hospital patient accounting with knowledge of claims administration Familiarity with ICD-9/10, CPT-4 coding, UB04, and HCFA 1500 claims administration Ability to perform financial analysis and comprehensive knowledge of patient accounting activities in a complex healthcare environment Independently functions within the scope of department policies and practices