The Denial Management Specialist role belongs to the Revenue Cycle team and is responsible for investigating and resolving complex third-party insurance denials and outstanding claims. The role aids in optimizing reimbursement by conducting exhaustive research and taking prompt action to resolve denials. The primary function of the role is to resolve payer denials while performing advanced level work related to referral, authorizations, notifications, non-coverage, medical necessity, and others as assigned. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations. This position reports to the Patient Financial Engagement Manager and requires interaction and collaboration with important stakeholders in the financial clearance process including but not limited to insurance company representatives, patients, physicians, and practice staff.

Execute the denial appeals process which includes receiving, accessing, documenting, tracking, responding to, and/or resolving appeals with third-party payers in a timely manner for services provided to managed care patients.

**This is a fully remote role**

The estimated hiring salary range for this position is $22/hr- $24/hr. * The actual salary will be based on a variety of job-related factors, including geography, skills, education and experience. The range is a good faith estimate and may be modified in the future. This role is also eligible for a range of benefits including medical, dental and 401K retirement plan.