Revenue Specialist, Denials

Job Summary

A company is looking for a Revenue Specialist, Denials.

Key Responsibilities

• Review and evaluate denied claims using proprietary software to determine correct reimbursement
• Research and acquire necessary medical records and documentation for claims submission
• Conduct follow-up with payers to ensure claims have been received and facilitate reimbursement

Requirements and Qualifications

• High School Diploma or GED required; Associates or Bachelor's Degree preferred
• 5+ years of experience in healthcare billing or collections
• 1+ years of client-facing/customer service experience
• Intermediate understanding of insurance claims processing and medical terminology
• Strong computer proficiency, including MS Office applications