Job Description
Description Job Purpose: Join Denova Collaborative Health as a Senior Denials Representative , where your expertise in denial management and revenue cycle operations helps recover revenue, reduce preventable denials, and improve financial performance. In this advanced role, you will manage complex appeals, resolve challenging payer issues, develop appeal strategies, and serve as a trusted resource
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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