Denials Management Specialist

Essential Functions and Responsibilities as Assigned Monitors denial work queues and reports in accordance with assignments from direct supervisor. Maintains required levels of productivity while managing tasks in work queues to ensure timeliness of follow-up and appeals. Tracks and investigates denial trends / root cause. Assists with claim audits as necessary. Makes management aware of any issues or changes in the billing system, insurance carriers, and/or network. Obtain retro authorizations and submit to payers for reimbursement. Ability to write non‑clinical appeals with demonstrating proficiency with timely and successful submissions. As needed, participates in A/R clean‑up projects or other projects identified by direct supervisor or CBS management. Works independently with other departments to resolve A/R and payer issues. Participates in departmental and team meetings involving discussion of A/R processes and trends. Knowledge of payer edits, rejections, rules, and how to appropriately respond to each to resolution. Qualifications High School Diploma or GED 7 years experience in Patient Accounting or Patient Access experience OR Associates Degree with 3 years of Patient Accounting or Patient Access experience Additional Information Schedule: Full‑time Requisition ID: 26002759 Daily Work Times: 8am - 4:30pm On Call: No McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law. #J-18808-Ljbffr Karmanos Cancer Institute