Medical Billing Specialist (Denials)

Responsible for investigating, resolving, and appealing denied medical insurance claims to maximize revenue and reduce outstanding accounts receivable.

• Process denied claims and follow up with insurance companies to resolve discrepancies or reimbursement issues.
• Audit patient charts to confirm proper coding and documentation for billing accuracy.
• Review Explanation of Benefits (EOBs) to determine next steps for claim resolution.
• Ensure denials are submitted with complete and accurate information.
• Work denials daily and assist with additional assigned tasks.
• Process electronic and paper payment postings efficiently and accurately.
• Communicate with administrative and clinical staff and prepare reports for administration as needed.