Position SummaryThe Denials Management Representative performs a wide range of duties involving the resolution of claims denied or delayed processing by insurance carriers.  Identifies, monitors and resolves issues resulting in the denial of claims. Takes corrective action to facilitate the re-billing and/or appeal of claims and the subsequent reimbursement of originally denied claims.  Identifies, analyzes, and researches frequent root causes of denials and assists management in developing corrective action plans to prevent future denials. Essential Duties Generates appeals based on the denial reason and contract terms of the payors. This includes online provider disputes and reconsiderations. Follows specific payor guidelines