Denials Appeals Specialist

Job Summary

Responsible for analyzing, drafting, and submitting high-quality appeal letters for denied claims, the full-time Denials Appeals Specialist will work remotely to improve cash flow and reduce accounts receivable aging by processing denial claims and collaborating with cross-functional teams.

Key responsibilities

• Review denied claims to identify root causes and develop appropriate appeal strategies
• Prepare and submit electronic and written appeals to insurance carriers while maintaining accurate documentation
• Conduct follow-ups with third-party payers to obtain claim status and support resolution efforts

Required qualifications

• High school diploma or equivalent required; Bachelor's degree preferred
• Experience in revenue cycle management or healthcare operations
• Strong analytical skills to evaluate denial root causes
• Ability to draft clear and persuasive appeal letters
• Familiarity with insurance carriers and payer guidelines