Night-Shift US Healthcare Denials & Appeals Specialist

MicroSourcing; Taguig; On-site; PHP 334,800 - 502,200; Full time

Benefits offered by this job

Healthcare Day 1 coverage for you and

PTO with cash conversion

Group life insurance

Performance bonuses

Job summary

MicroSourcing is seeking a Technical Denials & Appeals Specialist (IP & OP) to manage non-clinical claim denials within the US healthcare revenue cycle. You will analyze root causes, correct claim issues, and prepare technical appeals in collaboration with payers and internal teams.

The role requires 1 year of related experience, familiarity with CARC/RARC denial codes, and proficiency in EMR systems like Epic, Cerner, or Meditech. Onsite night shift in Taguig, Philippines.

Qualifications

• Minimum 1 year of experience in technical denials or denial management in US healthcare revenue cycle.
• US healthcare revenue cycle knowledge and medical billing processes.
• Familiarity with CARC/RARC denial codes and denial reason codes.

Responsibilities

• Review denied claims using EOBs/ERAs and payer portals to identify denial reasons.
• Interpret denial reason codes and categorize denials (authorization, eligibility, coding, timely filing).
• Correct claim errors related to demographics, insurance, provider details, and CPT/ICD validation.
• Prepare and submit non-clinical appeal letters with supporting docs.
• Monitor appeal status and follow up to close denials efficiently.
• Collaborate with billing, coding, QA and other teams to resolve issues.
• Maintain documentation and denial tracking reports for process improvements.

Skills

US healthcare revenue cycle

denials management

appeals writing

CARC/RARC denial codes

EMR systems (Epic Cerner Meditech)

ICD-10/CPT/HCPCS codes

MS Office

Education

Bachelor’s degree in Healthcare Admin / related field

Senior High School Diploma or equivalent

Tools

Epic

Cerner

Meditech

Denial management tools

Job description

MicroSourcing is seeking a Technical Denials & Appeals Specialist (IP & OP) to manage non-clinical claim denials within the US healthcare revenue cycle. You will analyze root causes, correct claim issues, and prepare technical appeals in collaboration with payers and internal teams.

The role requires 1 year of related experience, familiarity with CARC/RARC denial codes, and proficiency in EMR systems like Epic, Cerner, or Meditech. Onsite night shift in Taguig, Philippines.