Certified Coding Denials Specialist

Job Summary

To support timely collections of outstanding healthcare insurance receivables, the full-time Certified Coding Denials Specialist will manage interactions with insurance plans and patients, verify eligibility, and resolve denials while working remotely.

Key responsibilities

• Conduct research and status unpaid or denied claims, ensuring accurate follow-up with payers
• Verify patient eligibility and authorization for services, updating necessary information in systems
• Write appeal letters for technical appeals and secure medical documentation as required by insurance carriers

Required qualifications

• Must possess an AAPC or AHIMA certification such as CPC or RHIT
• 3+ years of accounts receivable experience within the healthcare revenue cycle
• 2+ years of experience with healthcare and/or insurance billing and processing
• Knowledge and understanding of UB04 and HCFA 1500 forms
• High school diploma or equivalent