Night-Shift Clinical Denials Specialist

Tasq Work; Taguig; On-site; PHP 600,000 - 800,000; Full time

Job summary

Tasq Work is seeking a Clinical Denials Specialist for 100% onsite work at BGC, Taguig, with night shift. You will review denied healthcare claims, identify denial reasons, and develop strong appeal arguments to support accurate reimbursement.

Collaborate with providers, analyze denial trends, stay current with payer policies, and document outcomes for reporting. Requires USRN license, CDI or related credential, coding certification, and 2–3 years in revenue cycle denial management.

Qualifications

• Bachelor’s degree in healthcare-related field.
• Active USRN license with clinical denials or CDI credentialing.
• Coding certification is required.
• 2–3 years in healthcare revenue cycle, denial management, or related area.
• Willingness to travel to client sites as needed.
• Experience with EHR systems, esp. Epic, and payer portals.

Responsibilities

• Review denied claims to identify denial reasons and discrepancies.
• Analyze medical records and payer policies to craft appeal arguments.
• Collaborate with providers to gather documentation for appeals.
• Develop effective appeal strategies to overcome denials.
• Document activities, outcomes, and trends for reporting.
• Identify denial trends and suggest process improvements.

Skills

Denial review

Analysis

Communication

Healthcare coding

Education

Bachelor's degree in Healthcare Administration

USRN license

CDI credentialing

Coding certification

CDAS credential

Tools

Epic

Payer denial portals

Job description

Tasq Work is seeking a Clinical Denials Specialist for 100% onsite work at BGC, Taguig, with night shift. You will review denied healthcare claims, identify denial reasons, and develop strong appeal arguments to support accurate reimbursement.

Collaborate with providers, analyze denial trends, stay current with payer policies, and document outcomes for reporting. Requires USRN license, CDI or related credential, coding certification, and 2–3 years in revenue cycle denial management.