Denials & Appeals Specialist - Revenue Integrity

Washington Health; Fremont (CA); On-site; USD 46,000 - 66,000; Full time

Job summary

Washington Health in Fremont, CA is seeking a Billing Denials Specialist to manage end-to-end denial and appeals for payer claims. You will prepare timely, well-supported appeals and partner with clinical, coding, billing, and payer staff to reduce future denials and protect revenue integrity.

The role requires familiarity with ICD-10, CPT, HCPCS coding, and payer reimbursement methodologies, plus strong communication and EHR/billing system skills. Apply to join a dedicated revenue-cycle team.

Qualifications

• Associate's or Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, or related field preferred; equivalent experience considered.
• Minimum 2–4 years in medical billing, denial management, appeals, utilization review, or revenue cycle operations.
• Familiarity with Medicare, Medicaid, and commercial payer denial guidelines.
• Proficiency with EHR and billing systems; strong written and verbal communication.

Responsibilities

• Meet productivity and turnaround targets for denial resolution and appeal submission.
• Overturn a measurable percentage of denied claims through well-documented appeals.
• Track deadlines and ensure timely filing to avoid losses.
• Maintain logs and coordinate with care teams to gather supporting documentation.

Skills

Denial management

Medical billing

Communication skills

ICD-10-CM/PCS knowledge

Payer reimbursement knowledge

EHR systems proficiency

Proficiency with payer portals

Education

Health Information Management / Healthcare Administration / Nursing degree or related field

Tools

Epic

Kodiak

Optum360

Availity

Job description

Washington Health in Fremont, CA is seeking a Billing Denials Specialist to manage end-to-end denial and appeals for payer claims. You will prepare timely, well-supported appeals and partner with clinical, coding, billing, and payer staff to reduce future denials and protect revenue integrity.

The role requires familiarity with ICD-10, CPT, HCPCS coding, and payer reimbursement methodologies, plus strong communication and EHR/billing system skills. Apply to join a dedicated revenue-cycle team.