Eagan, MN, 55121, USA
4 days ago
Denials Specialist
Description We are seeking a motivated and detail-oriented Denials Specialist to join our client in Eagan, MN for a contract position. As a Denials Specialist, you will work to identify, analyze, and resolve claim denials, ensuring both swift resolution and compliance with payer requirements. This is a contract opportunity for an individual with strong analytical skills, excellent communication abilities, and experience navigating the healthcare revenue cycle. Responsibilities + Analyze and review denied insurance claims to determine the root cause of denial. + Work closely with payers to resolve and secure reimbursement for denied claims within a timely manner. + Ensure compliance with payer policies, regulatory guidelines, and internal protocols during denial resolution. + Research and correct coding errors or documentation gaps that led to denials. + Escalate complex claim denials as needed, coordinating with supervisors or legal teams as required. + Stay updated on trends in payer policies and changes in insurance carriers to proactively address potential causes of claims rejection. Requirements Qualifications + Prior experience in medical billing, claims processing, or denial management within the healthcare field. + Familiarity with CPT, ICD-10, and HCPCS coding. + Proficient understanding of third-party payer policies, Medicare, Medicaid, and commercial insurance requirements. + Having a problem solving mindset. + Comfortable with medical billing software and systems + Effective written and verbal communication skills for negotiating and resolving issues with payers and internal teams. If you are passionate about streamlining claim resolutions and contributing to the financial health of a healthcare organization, we encourage you to apply. Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .
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