Remote Jobs

Denials Specialist - Remote


Pay$18.60 - $28.00 / hour
LocationRemote
Employment typeFull-Time
  • Job Description

      Req#: 300002049069864
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Salary up to $28.00 per hour
      - Potential eligibility for a signing bonus for qualified new hires
      - Comprehensive benefits package including medical, dental, vision, and life insurance
      - Minimum of 12 days of paid time off per year, plus 10 paid holidays
      - 401k plan with up to 6% employer match
      - Opportunity to work within a supportive call center environment

      What to Expect (Job Responsibilities):
      - Validate denial reasons and ensure accurate coding in the DCM system
      - Generate appeals based on dispute reasons and contract terms specific to the payer
      - Follow payer guidelines for appeal submissions and escalate exhausted appeal efforts
      - Research contract terms and compile necessary documentation for appeals
      - Escalate denial or payment variance trends to leadership for resolution

      What is Required (Qualifications):
      - High School Diploma or equivalent; some college coursework preferred
      - 3-5 years of experience in a hospital business environment performing billing and/or collections
      - Intermediate understanding of Explanation of Benefits (EOB), Managed Care Contracts, and hospital billing form requirements
      - Intermediate knowledge of ICD-9, HCPCS/CPT coding, and medical terminology
      - Proficient in Microsoft Office (Word, Excel) and advanced business letter writing skills

      How to Stand Out (Preferred Qualifications):
      - Experience in a fast-paced call center environment
      - Familiarity with federal and state healthcare regulations
      - Strong analytical skills with attention to detail
      - Excellent problem-solving abilities and communication skills
      - Ability to work collaboratively in a team setting

      #HealthcareServices #Billing #CareerOpportunity #CompetitivePay #BenefitsPackage

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

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