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.
