Denials & Appeals Specialist – AR Claims

OrthoMed Anesthesia; Addison (TX); On-site; USD 50,000 - 70,000; Full time

Job summary

OrthoMed Anesthesia in Addison, TX seeks a Healthcare Claims Denial Management Specialist to identify, analyze, and resolve denied or underpaid medical claims. Responsibilities include reviewing claims, communicating with insurance, and ensuring compliance with regulations.

The ideal candidate will have 2–4 years of experience in medical billing and possess strong analytical and communication skills. Familiarity with CPT, HCPCS, and ICD-10 coding is preferred. The role requires proficiency in EMR/EHR systems and billing software.

Qualifications

• 2–4 years in medical billing, claims processing, or denial management.
• Strong attention to detail and problem-solving skills.
• Excellent verbal and written communication skills.

Responsibilities

• Review and analyze denied, underpaid, and rejected medical claims.
• Communicate directly with insurance representatives.
• Generate denial reports and analyze denial metrics.

Skills

Revenue cycle processes

CPT/HCPCS and ICD-10 coding

Insurance payer rules

Medical terminology

Analytical abilities

Communication skills

Organizational skills

Tools

EMR/EHR systems

Billing software

Job description

OrthoMed Anesthesia in Addison, TX seeks a Healthcare Claims Denial Management Specialist to identify, analyze, and resolve denied or underpaid medical claims. Responsibilities include reviewing claims, communicating with insurance, and ensuring compliance with regulations.

The ideal candidate will have 2–4 years of experience in medical billing and possess strong analytical and communication skills. Familiarity with CPT, HCPCS, and ICD-10 coding is preferred. The role requires proficiency in EMR/EHR systems and billing software.