Managing denial and accounts receivable (AR) processes, the full-time Denials Management Specialist will resolve claim edits, research outstanding denials, and manage insurance appeals in a remote setting. Key responsibilities Review and resolve daily claim scrubber edits based on coding and billing guidelines Research and address outstanding denials while completing necessary follow-up in a timely manner Identify denial trends and educate staff on prevention strategies to reduce future denials Required qualifications High School Graduate with some college education 5+ years of experience in medical billing/collections, specifically with denials and appeals Extensive knowledge of ICD9 and CPT-4 coding, as well as insurance explanation of benefits (EOB) Proficiency in Microsoft Office, particularly Excel and Word Familiarity with multiple payer requirements for claims processing