Healthcare Claims Denial Specialist

Job Summary

A company is looking for a Healthcare Follow Up - Physician's Office (Remote).

Key Responsibilities:

• Resolve physician claim denials through advanced analysis and documentation
• Identify root causes of denials and implement process improvement initiatives
• Prepare and submit appeal documentation while tracking claim denials and underpayments

Required Qualifications:

• 2-3 years of experience in healthcare revenue cycle
• High School Diploma; Associate or Bachelor's degree preferred
• Proficiency in Excel, payer portals, and claims clearinghouses
• Knowledge of state/federal billing guidelines and payer policies
• Ability to analyze denied and underpaid claims for discrepancies