Temporary - Billing & Denials Management Specialist

Sound Physicians

United States

On-site

USD 55,000 - 65,000

Full time

14 days+

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Job summary

A leading healthcare provider is seeking a Billing & Denials Management Specialist to manage claims and reduce denials. This remote, full-time role requires strong analytical skills and experience in medical billing. Join a dynamic team dedicated to improving patient care.

Qualifications

3-5 years’ experience in medical insurance authorization, billing, or related role required.
Advanced understanding of computer data entry and business-related software.

Responsibilities

Review and trend vendor claim escalations.
Contact insurance companies to resolve unpaid claims.
Research denial trending and root cause by payer.

Skills

Work Ethic

Customer-focus

Adaptability

Resourcefulness

Education

High school diploma or equivalent

Tools

Microsoft Excel

Job description

Join to apply for the Contract - Billing & Denials Management Specialist role at Sound Physicians

Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states. Founded in 2001, and with specialties in emergency and hospital medicine, critical care, anesthesia, and telemedicine, Sound has a reputation for innovating and leading through an ever-changing healthcare landscape — with patients at the center of the universe.

About the Role:

The Denials Management Billing Specialist is responsible for following payor guidelines, legislation and regulations. They are responsible to track, trend and provide root cause analysis of denials received by payors. The Specialist works to eliminate denials allowing the organization to realize a decrease in the volume of denied accounts and dollars. Candidates should have experience with a minimum of one of our core service lines. (Emergency, Critical Care, Anesthesia, Hospitalist Medicine)

The Details:Full-time temporary contract starting June 2025 - February 2026, Remote WFH, daytime hours M-F

In this role, you will be responsible for:

Review, work, and trend vendor claim escalations.
Partner with vendor to resolve denials and unpaid claims.
Contact Insurance companies to resolve unpaid claims
Audit denial adjustment requests from billing vendors, field operations and Sound Physician staff.
Work closely with leadership to address issues affecting appropriate reimbursement.
Research and analyze denial trending and root cause by payer and region. Compile data on inappropriate high volume denial types and work with payors, contracting, and billing companies to resolve.
Maintain documentation and participate in external audits to validate compliance with Sound Physicians policies surrounding denial adjustment requests.
Participate in Denials Management Committee meetings and provide feedback on areas requiring improvement for denials resolution.
Assist department leadership with ad-hoc reports, research, analysis, and special projects.
Manage time effectively to complete assignments within established time frames, optimize collections, and meet performance goals.
Other duties as assigned

What we are looking for:A successful candidate will have a demonstrated track record of a combination of these values, knowledge, and experience:

Values:

Work Ethic - Dedication to getting the job done well and on time, regardless of circumstances, a can-do attitude
“Can-do” Attitude: Proactively seeks assignments, solutions and takes action where and as needed
Coachability: Demonstrates a willingness to accept feedback from others and put it into practice
Customer-focus: Puts customer (internal and external) needs first and makes customers their top priority
Eagerness to Learn: Proactively seeks out information, embraces learning new things and enjoys the learning process
Teamwork: Proactively seek to work with others to accomplish a common goal. Willingness to share challenges and successes with others
Adaptability:Demonstrates flexibility and a willingness to change as circumstances evolve and be coachable
Resourcefulness:Proactive willingness to utilize available information and tools to figure things out, not afraid to ask questions when necessary
Commitment: Demonstrates a dedication to the job, project, organization, customer/clients, and co-workers

Knowledge:

High school diploma or equivalent required
Advanced understanding/knowledge of computer data entry, Microsoft Excel and ability to navigate through any business related software
Knowledge and skilled in the use of a computers and related systems and software
Maintains current knowledge base for regulations: state, federal, and commercial payors

Experience:

3-5 years’ experience in medical insurance authorization, billing, patient accounts or related role required
Experience in denial and claims resolution required

Sound Physicians is an Equal Employment Opportunity (EEO) employer and is committed to diversity, equity, and inclusion at the bedside and in our workforce. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by federal, state, or local laws.

This job description reflects the present requirements of the position. As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.

#SoundBC

Equal Opportunity Employer

About Sound: