Billing Denial Management Specialist; 10.28.26

Canyonlands Community Health Care•Safford, AZ

About The Position

Canyonlands Healthcare, a Federally Qualified Health Center, is seeking a detail-oriented and proactive Billing Denial Management Specialist to support accurate and timely reimbursement. The role manages and resolves denied, rejected, and underpaid medical and behavioral health claims. It also supports accounts receivable management, identifies denial trends, and collaborates with colleagues and other departments to improve billing workflows and efficiency.

Requirements

High school diploma or equivalent.
Proven experience in medical billing, claims management, or denial resolution, preferably in a healthcare setting.
Strong understanding of insurance policies, payer requirements, and billing regulations.
Excellent analytical and problem-solving skills and attention to detail.
Proficiency in billing software, electronic health records (EHR), and Microsoft Office Suite.
Effective written and verbal communication skills for interacting with payers, providers, and team members.
Ability to work independently and as part of a team in a fast-paced environment.
Knowledge of federal and state healthcare regulations and compliance standards.

Nice To Haves

Additional education or certification in healthcare billing or coding.

Responsibilities

Identify, investigate, and resolve denied, rejected, and underpaid claims for medical and behavioral health services.
Review payer responses and documentation to determine the root causes of claim denials.
Correct claim issues and prepare appeals and reconsiderations to facilitate reimbursement.
Perform insurance follow-up activities to ensure claims are processed accurately and promptly.
Document account activity and maintain accurate records of interactions and resolutions.
Analyze denial trends to identify process improvements and reduce future claim denials.
Collaborate with team members and other departments to streamline billing workflows and improve efficiency.
Support accounts receivable management by keeping receivables within acceptable limits and preventing unnecessary growth.