Medical Billing Denial Resolution Specialist

Canyonlands Healthcare; Phoenix (AZ); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Vacation Time

Paid Leave

Medical, Dental, Vision, Life

Short-Term & Long-Term Disability

Accident & Critical Insurance

Retirement plan offered

Job summary

Canyonlands Healthcare in Phoenix is seeking a Billing Denial Management Specialist to join our billing team. The role focuses on managing denied, rejected, and underpaid medical and behavioral health claims to ensure timely reimbursement and accurate financial records.

You will review payer responses, investigate root causes of denials, prepare appeals, and collaborate across departments to streamline workflows.

Qualifications

• Requires high school diploma; healthcare billing or coding cert preferred.
• Experience with medical billing, claims management, or denial resolution.
• Strong understanding of payer requirements and billing regulations.
• Excellent analytical and problem-solving skills with attention to detail.
• Proficiency in billing software, EHR, and MS Office.

Responsibilities

• Identify, investigate, and resolve denied, rejected, and underpaid claims for medical and behavioral health services.
• Review payer responses and root causes of denials.
• Correct claim issues and prepare appeals to facilitate reimbursement.
• Perform insurance follow-up to ensure timely processing.
• Document account activity and maintain accurate records.
• Analyze denial trends to improve processes and reduce denials.
• Collaborate with team to streamline billing workflows and efficiency.
• Support accounts receivable by keeping receivables within limits.

Skills

Analytical thinking

Attention to detail

Communication skills

Teamwork

Independent worker

Insurance knowledge

Education

High school diploma

Healthcare billing/coding certification (preferred)

Tools

Billing software

EHR (Electronic Health Records)

Microsoft Office

Job description

Canyonlands Healthcare in Phoenix is seeking a Billing Denial Management Specialist to join our billing team. The role focuses on managing denied, rejected, and underpaid medical and behavioral health claims to ensure timely reimbursement and accurate financial records.

You will review payer responses, investigate root causes of denials, prepare appeals, and collaborate across departments to streamline workflows.