Revenue Specialist, Denials

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