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Medical Billing Denials & Appeals Specialist - Remote

remote-vaRemote — Calabarzon, Philippines
Remote Full-time

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Experience Level

Experience

Qualifications

We are looking for a candidate with a robust background in medical billing denials and appeals, alongside a proven track record of professional communication skills in English. The ability to engage confidently with insurance providers and a fast-learning attitude towards billing systems are crucial. Candidates should be detail-oriented, organized, and trustworthy, with the capability to work independently.

About the job

Job Title: Medical Billing Denials & Appeals Specialist
Schedule: Full-Time | Monday to Friday | 9:00 AM – 5:00 PM

Job Overview
Join our dynamic team as a Medical Billing Denials & Appeals Specialist. This remote role is essential for reviewing denied claims, engaging with insurance companies, and ensuring prompt follow-ups that maximize reimbursement outcomes. The ideal candidate will exhibit exceptional organizational skills, quick learning ability, and confidence in navigating medical billing systems while maintaining a professional rapport with insurers and internal teams.

This is a truly remote position, welcoming applicants from all over the globe as long as they meet the necessary qualifications.

Key Responsibilities

  • Examine and assess denied or rejected medical claims to identify underlying issues.
  • Engage with insurance companies via telephone to follow up on denied claims and gather claim status updates.
  • Compile and submit appeals with precise documentation and supporting evidence.
  • Collaborate with clients or internal teams to collect essential patient or claim information.
  • Maintain accurate billing system updates and thorough documentation of all follow-up actions.
  • Adhere to insurance guidelines and medical billing regulations to ensure compliance.
  • Work diligently to minimize claim aging and enhance reimbursement turnaround times.

Requirements

  • Extensive experience in medical billing denials and appeals.
  • Demonstrated ability to communicate clearly and professionally in fluent English (both verbal and written).
  • Comfortable with making frequent outbound calls to insurance providers.
  • A quick learner with the capacity to swiftly understand workflows and navigate billing systems.
  • Detail-oriented, analytical, and exceptionally organized.
  • Dependable, trustworthy, and able to work autonomously in a remote setting.
  • Experience with medical billing or practice management systems is highly advantageous.

About remote-va

Remote-va is a forward-thinking company committed to providing professional remote services that empower businesses globally. Our team thrives on collaboration, innovation, and the pursuit of excellence in all areas of business support.

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