Clinical Denials Specialist

Revenue Cycle Clinical Denials SpecialistThe Revenue Cycle Clinical Denials Specialist will perform advanced level work related to clinical denials management and root cause analysis. Responsibilities include managing claim denials related to authorization, referral, late notifications, level of care, medical necessity, experimental and investigation, and all other denials as assigned. The Revenue Cycle Clinical Denials Specialist conducts comprehensive review of the claim denial(s), account and/or charge reconciliation, and all clinical documentation to determine the root cause and appropriate resolution.