What are the responsibilities and job description for the Denials Specialist position at Robert Half?
Job Description
Job Description
We are seeking a motivated and detail-oriented Denials Specialist to join our client in Eagan, MN for a contract position. As a Denials Specialist, you will work to identify, analyze, and resolve claim denials, ensuring both swift resolution and compliance with payer requirements. This is a contract opportunity for an individual with strong analytical skills, excellent communication abilities, and experience navigating the healthcare revenue cycle.
Responsibilities
- Analyze and review denied insurance claims to determine the root cause of denial.
- Work closely with payers to resolve and secure reimbursement for denied claims within a timely manner.
- Ensure compliance with payer policies, regulatory guidelines, and internal protocols during denial resolution.
- Research and correct coding errors or documentation gaps that led to denials.
- Escalate complex claim denials as needed, coordinating with supervisors or legal teams as required.
- Stay updated on trends in payer policies and changes in insurance carriers to proactively address potential causes of claims rejection.
Qualifications
If you are passionate about streamlining claim resolutions and contributing to the financial health of a healthcare organization, we encourage you to apply.
