Denials Specialist

About the role

The Denial Specialist is responsible for working claim denials for Baptist Health. This includes initiating the reconsideration or appeal process. They must be able to document, track status, and work with payors to resolve issues in a timely manner. They will work closely with the PFS management to assist in collecting data on root causes and denial prevention procedures.

Responsibilities

• Initiate the reconsideration or appeal process for claim denials
• Document, track status, and work with payors to resolve issues in a timely manner
• Work closely with the PFS management to assist in collecting data on root causes and denial prevention procedures

Requirements

• A high school diploma or equivalent
• A bachelor's degree preferred
• 5 years experience in medical billing and insurance
• Able to work in a fast-paced environment and effectively multitask
• Excellent critical thinking and analytical skills required
• Able to communicate accurately, clearly, and professionally

Qualifications

• High school diploma or equivalent
• Bachelor degree preferred
• 5 years experience in medical billing and insurance

Skills

• Excellent critical thinking and analytical skills
• Able to communicate accurately, clearly, and professionally

Pay

This job will be authorized 80.00 hours bi-weekly.