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Denial Management - Process Associate
Job
PeopleShores PBC
Poplar Bluff, MO (In Person)
$33,280 Salary, Full-Time
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Job Description
Duties Experience reviewing and resolving denied, rejected, or underpaid medical claims. Understanding of common denial categories such as eligibility, authorization, coding, timely filing, and medical necessity. Ability to analyze payer responses, identify root causes, and determine appropriate next steps. Experience correcting claim errors, submitting reconsiderations, or preparing appeals. Comfortable communicating with insurance companies to obtain claim status and resolve payment issues. Ability to manage and prioritize denial inventories based on aging, filing limits, and financial impact. Ability to identify denial trends and recurring issues for escalation and process improvement. Proficiency in working across billing systems, payer portals, and spreadsheets. Prior experience in denial management, accounts receivable follow-up, insurance follow-up, or medical billing is preferred.