Denials and Appeals Representative

Job Summary

To support a growing healthcare practice, the full-time Denials and Appeals Representative will process correspondence, follow up on denied claims, and ensure compliance with billing regulations while working remotely.

Key responsibilities

• Perform diligent follow-up and appeals processes to secure payment on outstanding claims
• Research and address denials with maximum collection efforts to ensure timely payment
• Maintain compliance with state and federal regulations while exceeding productivity and quality standards

Required qualifications

• Approximately two years of experience with insurance denial processes in a multi-facility environment
• High school diploma or equivalent; some college coursework preferred
• Knowledge of health insurance correspondence and denial processing
• Understanding of physician billing guidelines for commercial and government payers
• Proficiency in billing systems and Microsoft Office applications