Resolve complex third-party insurance denials, optimize reimbursement, and support revenue cycle efficiency from the comfort of your home.
About the Company
We are a leader in providing innovative healthcare solutions, committed to accuracy, timeliness, and patient-centered service. Our revenue cycle team plays a critical role in ensuring financial viability while supporting the delivery of exceptional care.
Schedule
- Fully remote position
- Standard business hours, Monday–Friday
- Salary range: $22–$24/hour (based on skills, experience, and location)
Responsibilities
- Research and resolve complex payer claim denials, including referral, pre-authorization, medical necessity, and non-covered services
- Review carrier-specific appeal guidelines and determine the best course of action—appeal, obtain authorization, or close case
- Write and submit detailed, persuasive appeals based on clinical documentation, payer policies, and contract terms
- Customize appeals to Medicare, Medicaid, and commercial payer requirements
- Contact payers via phone, portals, or correspondence to resolve reimbursement issues
- Interpret and utilize insurance Explanation of Benefits (EOBs), remittance, and remark codes
- Track and trend recovery efforts; report payer-specific issues to management
- Ensure appeals are submitted within payer timeframes and documented accurately in patient software systems
- Access payer portals (e.g., NaviNet, Availity) to obtain information and upload appeals
- Meet productivity standards by resolving denials efficiently and identifying root causes
- Maintain HIPAA compliance and patient confidentiality at all times
- Collaborate effectively with internal teams, patients, and insurance representatives
- Perform additional revenue cycle and follow-up activities as assigned
Requirements
Education
- Bachelor’s degree or equivalent work experience required
Experience
- Minimum 3 years in a medical collections or revenue cycle role with expertise in denials, appeals, and insurance follow-up
Skills & Knowledge
- Strong knowledge of healthcare terminology, CPT, and ICD-10 codes
- In-depth understanding of insurance plans, coordination of benefits, and utilization guidelines
- Exceptional communication and customer service skills
- High attention to detail with strong analytical and decision-making ability
- Proficiency with Microsoft Office (Excel, Word) and medical billing systems
- Ability to handle multiple priorities and challenging situations professionally
- Must pass a background check, including credit check, due to the financial nature of the role
Benefits
- Medical, dental, and vision insurance
- 401(k) retirement plan
- Paid time off and additional perks
If you excel at solving complex reimbursement challenges and thrive in a detail-oriented remote role, we’d love to hear from you.
Happy Hunting,
~Two Chicks…