Denials and Appeals Specialist

This role focuses on the timely review, resolution, and tracking of claim denials and appeals while identifying recurring causes to coordinate prevention efforts across the revenue cycle. The specialist reviews payment variances against payer contracts, pursues reimbursement recovery, and communicates unresolved discrepancies to leadership. The position involves managing work queues and reports to support timely filing and departmental improvement across various inpatient and outpatient claims.