Revenue Specialist, Denials
A company is looking for a Revenue Specialist, Denials to manage the denials appeal process and resolve outstanding claims. Key Responsibilities Review and evaluate denied claims using proprietary software and payment documentation to determine correct reimbursement Research and acquire necessary medical records and submit them with claims to ensure prompt reimbursement Conduct timely follow-up with payers to confirm receipt of claims and facilitate reimbursement Requirements and Qualifications High School Diploma or GED required; Associates or Bachelor's Degree preferred 5+ years of experience in healthcare billing or collections 1+ years of client-facing/customer service experience Intermediate understanding of insurance payer/provider claims processing and medical terminology Strong computer proficiency, including MS Office applications
A company is looking for a Revenue Specialist, Denials to manage the denials appeal process and resolve outstanding claims.
Key Responsibilities
Review and evaluate denied claims using proprietary software and payment documentation to determine correct reimbursement
Research and acquire necessary medical records and submit them with claims to ensure prompt reimbursement
Conduct timely follow-up with payers to confirm receipt of claims and facilitate reimbursement
Requirements and Qualifications
High School Diploma or GED required; Associates or Bachelor's Degree preferred
5+ years of experience in healthcare billing or collections
1+ years of client-facing/customer service experience
Intermediate understanding of insurance payer/provider claims processing and medical terminology
Strong computer proficiency, including MS Office applications
