Position
Denial & Appeals Specialist
Denials worked, appeals won, revenue recovered.
A denial and appeals specialist owns the denial worklist - reading EOBs, identifying the root cause, drafting appeals with clinical justification, and tracking each appeal to a decision. They turn denied claims back into paid claims and feed root-cause findings into front-end fixes.
What is a denial & appeals specialist?
A denial and appeals specialist owns the denial worklist - reading EOBs, identifying the root cause, drafting appeals with clinical justification, and tracking each appeal to a decision. They turn denied claims back into paid claims and feed root-cause findings into front-end fixes.
What a denial & appeals specialist does day-to-day
Our denial specialists run the daily denial worklist, classify denials by CARC/RARC code, prioritize by dollar value, and route the corrective action - corrected claim, redetermination, peer-to-peer, or formal appeal. They track appeal outcomes and report trends so front-end errors get fixed at the source rather than re-worked downstream.
Daily responsibilities of a denial & appeals specialist
- Daily denial worklist triage by CARC/RARC and dollar value
- Appeal letter drafting with clinical documentation
- Peer-to-peer scheduling and coordination
- Redetermination and reconsideration submission
- Root-cause analysis and front-end feedback
- Weekly denial-and-appeal KPI reporting
Tools & EHRs supported
Practices that hire denial & appeals specialists through Staffing For Doctors
Each practice gets a denial & appeals specialist trained on the EHR, payers, and workflows specific to that specialty.
Anesthesiology
Prior Authorization Specialist
View specialty roleCardiology
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View specialty roleCritical Care
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View specialty roleDiagnostic Radiology
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View specialty roleEmergency Medicine
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View specialty roleENT (Otolaryngology)
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View specialty roleFamily Medicine
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View specialty roleFertility / Reproductive Endocrinology
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View specialty roleGeneral Surgery
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View specialty roleGeriatrics
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View specialty roleGI (Gastroenterology)
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View specialty roleHematology
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View specialty roleHospice
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View specialty roleHospitalists
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View specialty roleIntegrative / Functional Medicine
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View specialty roleInternal Medicine
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View specialty roleMedical Genetics
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View specialty roleMulti-Specialty
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View specialty roleNeonatal
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View specialty roleNephrology
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View specialty roleNuclear Medicine
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View specialty roleObstetrics and Gynecology
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View specialty roleOncology
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View specialty roleOT (Occupational Therapy)
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View specialty rolePathology
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View specialty rolePediatrics
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View specialty rolePhysical Medicine and Rehabilitation
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View specialty rolePodiatry
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View specialty rolePreventive Medicine
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View specialty rolePulmonology
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View specialty roleRadiation Oncology
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View specialty roleRadiology
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View specialty roleSleep Medicine
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View specialty roleTelemedicine / Virtual-Only Practices
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View specialty roleUrology
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View specialty roleVascular Surgery
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View specialty roleWeight Management
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View specialty roleWellness / Integrative Medicine
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View specialty roleWound Care / Hyperbaric
Prior Authorization Specialist - HBO2
View specialty roleFrequently asked questions
About hiring a denial & appeals specialist from Staffing For Doctors.
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