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Denials management Specialist

Job in Phoenix, Maricopa County, Arizona, 85003, USA
Listing for: Healthcare Informatics Pvt. Ltd.
Full Time position
Listed on 2026-10-02
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Salary/Wage Range or Industry Benchmark: 60000 - 90000 USD Yearly USD 60000.00 90000.00 YEAR
Job Description & How to Apply Below

Roles and Responsibilities :

  • Manage appeals process from start to finish, ensuring timely resolution of denied claims.
  • Identify and address root causes of denials through thorough analysis of EOBs (Explanation of Benefits) and provider feedback.
  • Collaborate with internal stakeholders to resolve rejections and optimize AR calling strategies for improved cash flow.
  • Develop and maintain effective communication channels with providers, insurance companies, and other relevant parties.
Job Requirements :
  • 5-15 years of experience in US healthcare industry, preferably in denial management or related field.
  • Strong understanding of appeals process, including regulations and guidelines governing medical billing practices.
  • Proficiency in analyzing complex data sets to identify trends and areas for improvement in denial rates.
  • Excellent communication skills for effective collaboration with cross-functional teams.

We are currently recruiting a Denials management Specialist for our team in United States.

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