RMLPH

Billing Specialist

• Investigate and resolve all assigned insurance claim denials in a timely and efficient manner.
• Analyze denial trends to identify root causes and patterns by payer, provider, or service type.
• Develop, document, and implement standard operating procedures for resolving common denial reasons.
• Prepare and submit compelling appeals to insurance companies with all necessary documentation.
• Collaborate with the coding team and clinical staff to obtain corrected information or documentation for claim resubmission.
• Track and report on denial statuses, recovery rates, and the financial impact of denial trends.
• Maintain up-to-date knowledge of payer policies, billing regulations, and industry standards related to medical billing and denials.
• Perform other duties as assigned related to revenue cycle management.

Billing Denials Management Specialist