Clinical Denials Specialist

Managing accounts receivable related to denied claims, the full-time Clinical Denials Specialist will investigate denials, follow up with insurance companies, and write non-clinical appeals while working remotely to ensure compliance with billing regulations. Key responsibilities Accurately triage and route claims to work queues while maintaining knowledge of hospital departments and payer processes Follow up with third-party payers to clarify payment issues and ensure timely processing of appeals Compose administrative, non-clinical appeals and manage submission of appeal letters through various channels Required qualifications High School diploma or equivalent One year of training in medical billing, coding, insurance processing, or related experience Knowledge and experience with EPIC medical billing preferred Experience with Microsoft Excel and Word Experience with hospital billing preferred