Revenue Specialist, Denials - Remote

Overview

The Revenue Specialist, Denials acts as a liaison between key client contacts and the denials appeal process, responsible for resolving outstanding claims while maintaining patient privacy and security.

In Short

• Review and evaluate denied claims using proprietary software.
• Research and acquire medical records for claim submissions.
• Conduct follow-ups with payers for prompt reimbursement.
• Handle patient health information securely.
• 5+ years of experience in healthcare billing or collections.
• Client-facing experience required.
• Intermediate understanding of insurance claims processing.
• Strong computer proficiency in MS Office.
• Knowledge of medical coding and terminology.
• Ability to analyze contracts for underpayments.

Requirements

• High School Diploma or GED required; Associates or Bachelor's preferred.
• 5+ years of healthcare billing or collections experience.
• 1+ years of customer service experience.
• Intermediate knowledge of ICD, HCPCS/CPT coding.
• Understanding of revenue cycle processes.
• Familiarity with hospital billing forms.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities.
• Self-starter capable of independent work.

Benefits

• Recognized as a top workplace.
• Opportunities for professional growth.
• Supportive work environment.
• Engagement in innovative revenue cycle solutions.
• Access to proprietary tools and systems.