Revenue Cycle Specialist

Job Summary

Acting as a liaison between key client contacts and the denials appeal process, the full-time remote Revenue Specialist, Denials will manage denial audits, resolve outstanding claims, and handle patient health information while ensuring privacy and security.

Key Responsibilities

• Review and evaluate denied claims using proprietary software to determine correct reimbursement
• Research and acquire necessary medical records to submit with claims for prompt reimbursement
• Conduct timely follow-up with payers to ensure claims have been received and processed

Required Qualifications

• High School Diploma or GED required; Associate's or Bachelor's Degree preferred
• 5+ years of experience in the healthcare field, specifically in billing or collections
• 1+ years of client-facing or customer service experience
• Intermediate understanding of insurance claims processing and medical terminology
• Strong computer proficiency, including MS Office applications