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 collect 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.
• Ability to work in a fast-paced environment and effectively multitask.
• Excellent critical thinking and analytical skills required.
• Ability to communicate accurately, clearly, and professionally.

Benefits

This job will be authorized 80.00 hours bi-weekly.