US Healthcare Denials & Appeals Specialist (Night Shift)

MicroSourcing International; Taguig; On-site; PHP 300,000 - 540,000; Full time

Benefits offered by this job

Healthcare coverage Day 1

Paid time off with cash conversion

Group life insurance

Performance bonuses

Job summary

MicroSourcing invites applications for a Technical Denials & Appeals Specialist (IP & OP) to join our onsite team in BGC, Taguig, working night shift. You will manage non-clinical claim denials within the US healthcare revenue cycle, analyze root causes, prepare appeals, and collaborate with payers and internal teams to maximize reimbursement.

The role requires at least 1 year in denial management and familiarity with ICD-10, CPT/HCPCS, CARC/RARC codes, and EMR systems.

Qualifications

• Minimum 1 year of experience in technical denials or denial management within US healthcare revenue cycle.
• Working knowledge of U.S. revenue cycle and medical billing processes.
• Familiarity with ICD-10, CPT/HCPCS, and CARC/RARC denial codes.

Responsibilities

• Review denied claims using EOBs and payer portals to identify denial causes.
• Interpret denial codes and categorize denials by issue type.
• Correct claim errors including demographics, patient info, and basic coding validation.
• Prepare and submit non-clinical appeal letters with supporting documentation.
• Monitor appeal status and perform timely follow-ups for resolution.
• Collaborate with billing, coding, QA, and other teams to resolve issues.

Skills

Denials management

A/R follow-up

Appeals handling

English communication

Analytical thinking

Education

Senior High School Diploma or equivalent

Tools

Epic

Cerner

Meditech

Microsoft Office

Job description

MicroSourcing invites applications for a Technical Denials & Appeals Specialist (IP & OP) to join our onsite team in BGC, Taguig, working night shift. You will manage non-clinical claim denials within the US healthcare revenue cycle, analyze root causes, prepare appeals, and collaborate with payers and internal teams to maximize reimbursement.

The role requires at least 1 year in denial management and familiarity with ICD-10, CPT/HCPCS, CARC/RARC codes, and EMR systems.