Join a high-performing Revenue Cycle team committed to ensuring healthcare providers receive accurate, timely reimbursement for the care they deliver. The Denial Management Specialist plays a key role in investigating, appealing, and resolving complex insurance denials—protecting revenue integrity and supporting patient access to care.
About the Role
You’ll take ownership of denied claims from start to finish, conducting detailed research, analyzing payer responses, and crafting strong, evidence-based appeals. You’ll collaborate closely with insurance representatives, physicians, and internal teams to identify root causes and drive process improvements that prevent future denials.
This is a 100% remote position.
Schedule & Compensation
- Full-time, Monday–Friday
- Pay: $22–$24 per hour (based on experience and location)
- Benefits include medical, dental, and 401(k) retirement plan
Key Responsibilities
- Research and resolve payer denials related to authorizations, medical necessity, non-covered services, and billing errors.
- Write and submit detailed, persuasive appeals supported by clinical documentation, payer policies, and contract terms.
- Monitor payer responses and ensure appeals are submitted within timely filing limits.
- Analyze denial trends to identify recurring issues and recommend solutions.
- Communicate effectively with insurance representatives to verify claim status and negotiate resolution.
- Review and interpret EOBs, remittance codes, and denial remarks to ensure accurate follow-up.
- Maintain meticulous documentation of all actions taken in the patient billing system.
- Escalate unresolved or exhausted accounts per department policy.
- Uphold all HIPAA and compliance standards while managing sensitive financial and medical information.
What You’ll Need
- Bachelor’s degree or equivalent work experience.
- 3+ years of experience in medical collections, denials, appeals, or insurance follow-up.
- Strong understanding of CPT/ICD-10 codes, payer guidelines, and claim appeal procedures.
- Proficiency with payer portals (Navinet, Availity, etc.) and Microsoft Office Suite (Excel, Word).
- Excellent written and verbal communication skills.
- Strong analytical thinking, attention to detail, and independent problem-solving.
- Ability to manage competing priorities while meeting productivity goals.
- Must pass a background and credit check due to financial responsibilities.
Why This Role Matters
Every successful appeal ensures that patients receive the care they deserve—and that providers are fairly reimbursed for their work. As a Denial Management Specialist, you’ll help eliminate financial barriers in healthcare while strengthening the organization’s fiscal stability.
Happy Hunting,
~Two Chicks…