Revenue Specialist, Denials - Remote

Overview

The Revenue Specialist, Denials acts as the liaison between key client contacts and our denials appeal process to the appropriate payer, responsible for the initial denial audit and activities to resolve outstanding claims while maintaining confidentiality.

In Short

• Act as a liaison between clients and the denials appeal process.
• Conduct initial denial audits.
• Resolve outstanding claims.
• Handle patient health information (PHI) securely.
• Maintain confidentiality and privacy of proprietary information.
• Work with healthcare organizations to improve financial sustainability.
• Utilize E360 RCM™ intelligent automation platform.
• Support clients in the reimbursement process.
• Engage in data-rich performance management.
• Contribute to reducing denials and improving cash flow.

Requirements

• Experience in Revenue Cycle Management.
• Knowledge of claims processing and denials management.
• Strong analytical skills for auditing denials.
• Ability to handle sensitive patient information.
• Excellent communication skills.
• Detail-oriented with a focus on accuracy.
• Understanding of healthcare reimbursement processes.
• Ability to work collaboratively with clients.
• Proficiency in relevant software tools.
• Commitment to maintaining confidentiality.

Benefits

• Competitive salary and benefits package.
• Opportunities for professional development.
• Supportive work environment.
• Recognition as a top workplace.
• Engagement in meaningful work within healthcare.
• Access to advanced technology and tools.
• Flexible work arrangements.
• Health and wellness programs.
• Collaborative team culture.
• Potential for career advancement.