Denial Strategy & Revenue Recovery Specialist

Altivera Medical; Denver (CO); On-site; USD 55,000 - 75,000; Full time

Job summary

Altivera Medical in Denver, CO seeks a denial management specialist to recover underpayments and prevent revenue loss. You will analyze denials, develop payer appeals, and work with billing teams to optimize reimbursement outcomes.

Responsibilities include reviewing claims, tracking appeals, and collaborating with cross-functional partners to address recurring denial drivers and ensure timely recoveries.

Qualifications

• Two to three+ years of denial management, appeals, reimbursement recovery, healthcare billing, or related revenue cycle experience.
• Working knowledge of payer reimbursement methodologies, claim adjudication, denial reasons, appeal processes, and recovery practices.
• Strong analytical and written communication skills with attention to detail.

Responsibilities

• Review denied claims to determine denial rationale, financial impact, and appropriate recovery action.
• Develop and submit payer appeals supported by claim history, documentation, reimbursement requirements, and applicable payer guidance.
• Track appeal status, outcomes, payer responsiveness, and required follow-up through final resolution.
• Escalate complex, recurring, or payer-compliance concerns to leadership as appropriate.

Skills

Appeals development

Revenue recovery

Denial analysis

Payer reimbursement knowledge

Analytical thinking

Written communication

Cross-functional collaboration

Revenue protection

Education

High school diploma

Healthcare administration / billing education preferred

Tools

Billing software

EHR systems

Documentation management

Job description

Altivera Medical in Denver, CO seeks a denial management specialist to recover underpayments and prevent revenue loss. You will analyze denials, develop payer appeals, and work with billing teams to optimize reimbursement outcomes.

Responsibilities include reviewing claims, tracking appeals, and collaborating with cross-functional partners to address recurring denial drivers and ensure timely recoveries.