Denials Appeals Specialist

Job Summary

Analyzing and drafting high-quality appeal letters for denied claims, the full-time Denials Appeals Specialist will work remotely to support revenue cycle initiatives by correcting claim errors and submitting appeals in accordance with payer guidelines.

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
• Collaborate with cross-functional teams to identify denial trends and improve appeal success rates

Required qualifications

• High school diploma or equivalent required; Bachelor's degree preferred
• Experience in revenue cycle management or healthcare operations
• Strong analytical skills with the ability to evaluate denial root causes
• Familiarity with insurance carriers and payer guidelines
• Ability to work independently in a fast-paced remote environment