The Denial Management Specialist investigates and resolves complex third-party insurance denials to optimize reimbursement. They are responsible for executing the appeals process, tracking recovery efforts, and ensuring all accounts are managed according to payer guidelines.
The specialist coordinates financial clearance activities, including insurance verification, obtaining prior authorizations, and managing referrals to ensure timely access to care. They collaborate with patients, providers, and insurance carriers to resolve registration issues and maintain accurate financial and demographic records.
