General Information: Job title: Denial Management Specialist Schedule: Full-time, 80 hours per pay period; Monday-Friday, 8:00am - 4:30pm Weekend rotation: No weekends Holiday rotation: Paid Holidays Position Summary: The Denial Management Specialist position gathers, interprets, and reviews data to assess for root cause analytics to then implement process improvement to reduce denials and write offs to optimize A/R. Position Responsibilities: • Creates Revenue Cycle reports • Responsible for collecting, researching and analyzing business and operational data. • Provides monitoring and trending of system denials. • Works with other departments, including operational, to reduce the dollar amounts of denials and rework. • Works denials to resolution. • Collaborates with other revenue cycle departments to educate on denial trends. • Identifies and monitors process improvement efforts with the revenue cycle. • Establishes definitions and criteria for reporting avoidable denials. • Attends workshops and seminars to maintain a high level of knowledge and capabilities related to position. • Perform other duties as requested. Position Requirements: • High school diploma or equivalent required. • AA or 4 years of equivalent experience required. • 5+ years of related work experience preferred. • Experience working in the medical industry preferred. • Exceptional accuracy and attention to detail required. Knowledge, Skills, & Abilities • Intermediate to Expert proficiency with computers is required. • Thorough understanding of billing process. • Basic understanding of coding. • Strong quantitative and analytical competency. • Self-starter with excellent interpersonal communication and problem-solving skills.