**Position Summary** : The denials management specialist is responsible for timely and accurate follow-up and appeal of denials/rejections received from third-party payers. The specialist will work independently while managing their assigned work to ensure payer appeal/filing deadlines are met and achieve optimal payment for services rendered. **Essential Functions and Responsibilities:** 1. Monitors denial work queues and reports in accordance with assignments from direct supervisor. Maintains required levels of productivity while managing tasks in work queues to ensure timeliness of follow-up and appeals. 2. Tracks and investigates denial trends/ root cause 3. Assists with claim audits as necessary 4. Makes management aware of any issues or changes in the billing system, insurance carriers, and/or network. 5. Obtain retro authorizations and submit to payers for reimbursement. 6. Ability to write non-clinical appeals with demonstrating proficiency with timely and successful submissions. 7. As needed, participates in A/R clean-up projects or other projects identified by direct supervisor or CBS management. 8. Works independently with other departments to resolve A/R and payer issues. **Qualifications** Required: * Associate degree required. * Minimum of 3 years in a hospital or physician billing office. **Equal Opportunity Employer of Minorities/Females/Disabled/Veterans**