PURPOSE OF THIS POSITION
The Denial Management Specialist is responsible for the timely review and accurate identification and follow-up of all initial denial notifications from Blanchard Valley Facility and Professional services as well as the appeal of denials/rejections from third-party payers. The specialist will manage their assigned work relating to all denials and ensure deadlines are met to achieve maximum reimbursement for services rendered. They will be required to work with multiple departments and communicate to the Denial Avoidance Specialist when identifying trends relating to denials. The specialist will also work with management to ensure compliancy within the department and to establish effective controls to adhere to applicable laws and regulations.
JOB DUTIES/RESPONSIBILITIES
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