Denials Specialist

Position Summary

The Denials Specialist role is responsible for the follow-up and collection of accounts receivable, including general payer collections and denial resolution. The position may also oversee incoming patient calls and performs a variety of accounting, customer service, and organizational tasks to support the financial health of the organization.

Please note : The identification of duties and responsibilities does not represent an exhaustive list and may include related tasks as assigned

This position is fully remote but only available to candidates residing in Illinois (IL), Michigan (MI), Ohio (OH), Pennsylvania (PA), West Virginia (WV), or Georgia (GA).

About Midwest Vision Partners (MVP)

Midwest Vision Partners (MVP) is a leading management services organization supporting premier eye care practices across the Midwest. Our mission is to deliver world-class support services to our network of ophthalmology and optometry providers, enabling them to focus on what they do best-providing exceptional patient care. We are proud to support a growing community of practices and surgery centers committed to clinical excellence and compassionate service.

What You Will Be Working On

Accounts receivable follow-up, including collections and denial resolution

Requires direct communication with payers and use of payer portals

Working in the patient account system, managing work queues, and using Excel documents

Credit balance resolution

Ability to interpret a variety of EOBs to reconcile patient accounts, determine accurate balances, and take appropriate action (refunds or takebacks)

Placing outgoing calls to insurance companies to resolve outstanding claims / balances

Working knowledge of Medicare, Medicaid, Government, and Commercial payers

Ability to identify trends and communicate payer issues or patterns

Performing month-end close procedures within established timeframes

Communicating payer or account concerns to the manager in a timely manner

Monitoring accounts for other opportunities (e.g., copay, deductible, coinsurance)

Entering clear and concise comments in the system for documentation and tracking

Ensuring adherence to HIPAA and other privacy / compliance standards

Staying up to date on payer contract updates and bulletins

Performing other duties as assigned to support the financial health of the organization

Knowledge, Education, and Skills Requirements

High school diploma or equivalent

Previous healthcare experience in accounts receivable management

What Will Make You Awesome

Excellent written and verbal communication skills

Strong computer skills, including proficiency with Excel, Word, and RCM systems

Highly organized and detail-oriented, with a strong work ethic

Demonstrated ability to multitask, prioritize, and meet deadlines

Team-oriented with a commitment to accuracy and accountability

What You Know

Ability to read and interpret a variety of EOBs

Experience using payer portals

Knowledge of Medicare and Medicaid processes

What We Offer

Competitive compensation

Medical, dental, and vision insurance

401(k) with company match

Generous paid time off and holidays

Opportunities for career growth and development

Remote

A supportive, collaborative, and mission-driven work environment

Join Midwest Vision Partners and be part of a team that's making a difference in patient care while supporting the professionals who deliver it. Apply today!

Job Posted by ApplicantPro