Claims & Reimbursement Specialist: Denials & Appeals Expert

Roth Staffing Companies; Englewood (CO); Vor Ort; USD 48.000 - 72.000; Vollzeit

Zusammenfassung

Roth Staffing Companies is seeking a Healthcare Claims & Reimbursement Specialist to support claim review, denial management, appeals, reimbursement recovery, and billing accuracy initiatives in the United States. This role focuses on investigating claim issues, resolving payment discrepancies, and maximizing reimbursement outcomes.

You will work with insurance payers to resolve claim-related concerns, track activity, and collaborate with internal teams to address complex issues, ensuring

Qualifikationen

• 2+ years of healthcare billing, claims, reimbursement, denial management, or revenue cycle experience.
• Knowledge of insurance claims and reimbursement processes.
• Strong attention to detail and problem-solving skills.
• Excellent communication and organizational abilities.
• Experience with appeals, claim research, or payer follow-up preferred.

Aufgaben

• Review healthcare claims for accuracy and completeness.
• Research denied, rejected, and underpaid claims.
• Prepare and submit supporting documentation and appeals.
• Investigate billing discrepancies and reimbursement issues.
• Work with insurance payers to resolve claim-related concerns.
• Track claim activity and maintain accurate records.
• Identify trends and opportunities to reduce denials and improve claim quality.
• Collaborate with internal teams to resolve complex claim issues.

Kenntnisse

Healthcare billing

Denial management

Appeals / payer follow-up

Attention to detail

Communication skills

Organizational abilities

Jobbeschreibung

Roth Staffing Companies is seeking a Healthcare Claims & Reimbursement Specialist to support claim review, denial management, appeals, reimbursement recovery, and billing accuracy initiatives in the United States. This role focuses on investigating claim issues, resolving payment discrepancies, and maximizing reimbursement outcomes.

You will work with insurance payers to resolve claim-related concerns, track activity, and collaborate with internal teams to address complex issues, ensuring