Certified Revenue Cycle Specialist

Job Summary

Supporting the Adjustments Team, the remote Denials & Appeals Coordinator will manage, track, and resolve denials and appeals to ensure timely reimbursement while maintaining an in-depth understanding of payer guidelines and systems.

Key responsibilities

• Monitor assigned queues and ensure follow-up dates are current across various systems
• Analyze denials to determine appropriate actions and file appeals while documenting all activities accurately
• Identify trends in denials and suggest improvements to reduce future claim issues

Required qualifications

• H.S. Diploma or GED required; Associate Degree or higher in Health Information Management preferred
• 1-3 years of experience in medical billing, revenue cycle, or claims denials and appeals processing required
• Prior experience with revenue cycle processes in a hospital or physician office setting required
• Strong knowledge of payer guidelines and medical billing practices
• Certified Revenue Cycle Specialist (CRCS) - AAHAM preferred