Back
Niche denial-management role, non-metro location, and modest brand reduce applicant competition.
Healthcare payer denial management requires domain-specific billing and claims expertise, limiting cross-industry transferability.
Requires explicit 2 years, denial management experience and billing software skills, so moderate filtering.
Login to See Your Match Score
Create a free account or log in to unlock your CV match score across:
Investigate and resolve complex accounts receivable (AR) and denial issues, including preparing and submitting appeals for denied claims.
Analyze denial trends to identify process improvements and lead payer calls for escalated denial inquiries and disputes.
Develop and implement strategies to reduce aging and denial rates, collaborate on root cause analysis, and mentor Level 1 associates on advanced AR and denial management.
Associate degree in Healthcare Administration or related field preferred.
Minimum 2 years of experience in denial management or revenue cycle management.
Proficiency in medical billing software and denial tracking systems.
Experience communicating effectively with payers to negotiate claim resolutions.
Experience handling behavioral health or complex medical billing denials preferred but not explicitly required.
Demonstrates leadership capability through mentoring and independently managing escalated issues.
Strong analytical skills with a focus on identifying trends and driving process improvements in revenue cycle management.