Mar 23, 2026
Overview:
The Denials Specialist is responsible for investigating and resolving denied insurance claims, ensuring timely resolution and optimal reimbursement for professional services performed at outpatient, urgent care or physician offices at Covenant HealthCare. This position will monitor and analyze quality of coding, compliance issues, billing, documentation and reimbursement and interpretation. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation.
Responsibilities:
- Analyze denied claims by identifying reasons for denial and verify claim information against payer policies and contracts. - Resolve denials by determining appropriate actions and submitting appeals within specified deadlines. - Compile supporting documentation and evidence to strengthen...
Covenant HealthCare
Saginaw, MI, USA