Denials Management & Appeals Specialist

Socket.dev; Shelby Charter Township (MI); On-site; USD 52,000 - 76,000; Full time

Job summary

Socket.dev in the United States is hiring a Denials Management Specialist to ensure timely follow-up and appeals of denials and rejections from third-party payers. The role emphasizes independent work and meeting payer filing deadlines to maximize reimbursement.

You will monitor denial queues, analyze trends, assist with audits, and collaborate with billing teams to resolve A/R issues and respond to payer requests with accurate, non-clinical appeals.

Qualifications

• 7 years experience in Patient Accounting or Patient Access
• Associates Degree with 3 years of Patient Accounting or Patient Access experience

Responsibilities

• Monitors denial work queues and reports in accordance with assignments from direct supervisor.
• Tracks and investigates denial trends/root causes.
• Assists with claim audits as necessary.
• M isks changes in billing systems, insurance carriers, and/or network to management.
• Obtains retro authorizations and submits to payers for reimbursement.
• Writes non-clinical appeals with timely and successful submissions.
• Works independently with other departments to resolve A/R and payer issues.
• Participates in departmental and team meetings discussing A/R processes and trends.

Skills

Patient Accounting experience

Patient Access experience

Denials management

Education

High School Diploma or GED

Associates Degree

Job description

Socket.dev in the United States is hiring a Denials Management Specialist to ensure timely follow-up and appeals of denials and rejections from third-party payers. The role emphasizes independent work and meeting payer filing deadlines to maximize reimbursement.

You will monitor denial queues, analyze trends, assist with audits, and collaborate with billing teams to resolve A/R issues and respond to payer requests with accurate, non-clinical appeals.