Denials Specialist

About the role

We are seeking an experienced Denials Specialist to support revenue cycle operations with a strong focus on accounts receivable (A/R) and insurance denials management. The ideal candidate will have hands-on experience working in eClinicalWorks and a proven background researching, appealing, and resolving denied and underpaid claims.

Responsibilities

• Review, analyze, and resolve insurance claim denials in a timely manner
• Work A/R follow-up for outstanding claims and unpaid balances
• Identify denial trends and root causes to support process improvement
• Submit corrected claims, reconsiderations, and appeals as needed
• Follow up with payers regarding claim status, underpayments, and reimbursement delays
• Document account activity accurately in eClinicalWorks
• Collaborate with billing, coding, and front-end staff to prevent recurring denials
• Maintain productivity and accuracy standards while meeting deadlines

Requirements

• 2+ years of experience in denials management and A/R follow-up
• Recent hands-on experience with eClinicalWorks is required
• Strong understanding of medical billing, EOBs, ERA remits, payer guidelines, and appeals
• Knowledge of commercial, Medicare, and Medicaid claim denial resolution
• Ability to work denied claims from identification through resolution
• Strong attention to detail, analytical skills, and follow-up abilities
• Excellent written and verbal communication skills

Preferred Qualifications