Clinical Denials Specialist
Employment type
Full-time
Work setting
On-site
Location
Farmington, MI
Schedule
Day shift
Posted
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Job overview
The Clinical Denials Specialist role is described as operating in a professional home environment; the listing location is Farmington, MI. Compensation is not specified. Healthrise’s posting focuses on accurate reimbursement for healthcare services and improving revenue cycle processes. The specialist reviews denied claims, develops appeal arguments, and works with healthcare providers to gather supporting documentation. Analysis of denial trends and feedback to revenue cycle teams help address recurring issues and prevent future denials.
What you'll do
- Review denied claims and identify reasons or discrepancies
- analyze medical records, billing documents, and payer policies
- prepare appeal arguments
- gather documentation with healthcare providers
- document appeal activities and outcomes
- monitor denial trends
- provide feedback to revenue cycle teams
- and participate in denial management meetings.
What we're looking for
- Skills & competencies
- clinical denials specialisthealthrisefarmington mihealthcare revenue cycleclaims reviewdenial appealsmedical recordspayer policiesrn credentialshome work environment
- Work arrangement
- Weekend coverage required
Why this role
The posting describes a professional home work environment and requires RN credentials for clinical denials/CDI.
About the employer
Healthrise is hiring for this role. Industry: Administrative Management and General Management Consulting Services. Sector: 54.
Additional details
- Industry sector
- 54
- Industry
- Administrative Management and General Management Consulting Services
- Occupation code
- 13-1041.00
You'll be redirected to the employer's application page.
Listing ID: c287f076-e5a2-4266-9b4a-657b4700519b