Provider Enrollment Denials Specialist

A company is looking for a Provider Enrollment Denials Specialist.

Key Responsibilities

Review actions / alerts within the database to improve follow-up in the claims denial process

Maintain organized and updated files on all providers, including licenses and certifications

Monitor and investigate enrollment claim denials and direct billing resubmission to maximize revenue

Required Qualifications

High School Diploma / GED

5 years of experience in billing, health insurance, or a similar environment

5 years of experience in provider insurance with enrollment, denials, and follow-up

Knowledge of the revenue cycle process

Strong computer literacy skills