Clinical Denials Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Overseeing accounts receivable concerning denied claims

• Investigating claim denials

• Engaging in follow-ups with insurance providers

• Coordinating with billing, auditors, and departments within clinics/hospitals

• Writing non-clinical appeal letters

• Making accurate and timely adjustments to accounts

• Ensuring compliance with all federal, state, and third-party billing regulations and contractual agreements

• Navigating payer portals and websites

• Drafting administrative, non-clinical appeals

• Expanding knowledge of all federal, state, and local regulations

⛳️ Requirements

• High School diploma or equivalent

• At least one (1) year of training in medical billing, coding, insurance processing, or a related field

• An Associate degree in a related area is preferred

• Familiarity and experience with EPIC medical billing is preferred

• Proficiency in Microsoft Excel and Word is preferred

• Experience with hospital billing is preferred

🏝️ Benefits

• Exceptional customer service

• Strong oral and written communication skills