Denials Appeals Specialist

Job Summary

Analyzing and drafting appeal letters for denied claims, the full-time Denials Appeals Specialist will work remotely on a contract basis to enhance revenue cycle initiatives by improving appeal success rates and minimizing revenue leakage.

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 conducting follow-ups to obtain claim status
• Collaborate with cross-functional stakeholders to identify denial trends and improve operational efficiency

Required qualifications

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