Coding Denials Specialist

Insight Global; Red Bank (NJ); On-site; USD 52,000 - 66,000; Full time

Job summary

Insight Global’s client in Red Bank, NJ seeks a detail-oriented Claims Analyst to support a high-volume medical billing and revenue cycle team, focusing on insurance claim resolution, denials, AR follow-up, and collections across in-network and out-of-network claims.

The role requires reading EOBs, working with CPT/ICD codes, and collaborating with payers to ensure accurate documentation and timely payments. Ideal candidates have 2+ years in medical billing and a team-oriented approach.

Qualifications

• 2+ years in medical billing, medical collections, AR follow-up, or denials experience.
• Strong ability to read and interpret EOBs for in-network and out-of-network claims.
• Working knowledge of insurance claim processing, payer follow-up, denials, adjustments, refunds, and AR.
• Experience with in-network and out-of-network medical claims.
• Familiarity with CPT/ICD codes and CMS-1500/HCFA and UB-04 forms.
• Ability to manage a high-volume claims queue balancing speed, accuracy, and documentation.
• Strong communication for payer follow-up and internal collaboration.

Responsibilities

• Support insurance claim resolution, denials, AR follow-up, and collections across denials and claims.
• Communicate with payers and internal teams to ensure accurate documentation.
• Follow established processes and contribute to training and teamwork.

Skills

Medical billing

AR follow-up

EOB interpretation

Denials handling

Communication skills

Tools

CMS-1500/HCFA

UB-04

EOB review

Payer follow-up

Job description

Job Description

Insight Global’s client is seeking a detail-oriented Claims Analyst to support a growing plastic and reconstructive surgery practice in Red Bank, NJ. This individual will join a high-volume medical billing and revenue cycle team, focusing on insurance claim resolution, denials, AR follow-up, and collections across both in-network and out-of-network claims.

Skills and Requirements

• 2+ years of medical billing, medical collections, AR follow-up, or denials experience.
• Strong ability to read and interpret EOBs; candidates should be comfortable walking through both in-network and out-of-network EOB examples.
• Working knowledge of insurance claim processing, payer follow-up, claim denials, adjustments, refunds, and outstanding AR.
• Experience working with in-network and out-of-network medical claims.
• Familiarity with CPT codes, ICD codes, medical terminology, and common billing forms such as CMS-1500/HCFA and UB-04.
• Ability to work a high-volume claims queue while balancing speed, accuracy, and quality of documentation.
• Strong communication skills for payer follow-up, internal collaboration, and documentation.
• Adaptable, team-oriented mindset with the ability to follow established processes and build on existing training.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [e-mail].