Revenue Specialist, Denials

Job Summary

A company is looking for a Revenue Specialist, Denials.

Key Responsibilities

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

Requirements and Qualifications

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