Remote Insurance Denials Specialist

Job Summary

A company is looking for a Remote Insurance Denials Representative.

Key Responsibilities

• Validate dispute reasons following Explanation of Benefits (EOB) review and escalate payment variance trends to management
• Ensure accurate coding in DCM that reflects denial reasons
• Coordinate with the Clinical Resource Center for clinical consultations or account referrals as needed

Required Qualifications

• 1-4 years of Revenue Cycle Experience preferred
• Previous hospital claims and denials experience, with familiarity in EOB, UB-04, ICD9, HCPCS/CPT coding
• High school diploma or GED