Denials & Insurance Recovery Specialist II

DCH Health System; Millport, Fayette (AL, AL); Hybrid; USD 50,000 - 65,000; Full time

Job summary

DCH Health System in Alabama is seeking a Denials and Insurance Follow-Up Specialist to optimize revenue recovery by managing denials and follow-up with payers.

The role collaborates with the Revenue Cycle Management (RCM) team to investigate, correct, and resubmit denied claims, reducing accounts receivable days and improving cash flow.

Qualifications include three years in medical Billing, knowledge of payer requirements, denial codes, and proficiency with EHR and RCM software.

Qualifications

• Education: High School Diploma or GED; 5 years in healthcare setting preferred.
• Minimum 3 years in medical billing; physician/provider billing preferred.
• Knowledge of payer requirements, denials, and appeals for Medicare/Medicaid/commercial.

Responsibilities

• Review denied claims to determine denial causes and correct errors.
• Prepare and submit appeal documentation and follow up with payers.
• Track denial reasons and outcomes to identify trends.
• Follow up on unpaid claims with insurance companies.
• Verify insurance eligibility to support corrections.
• Reconcile accounts and resolve underpayments or unapplied funds.
• Generate reports on denial rates and recovery outcomes.

Skills

Denial management

Insurance follow-up

Analytics

Communication

Time management

Education

High School Diploma or GED

5 years healthcare experience

Tools

EHR software

RCM software

Microsoft Office

Job description

DCH Health System in Alabama is seeking a Denials and Insurance Follow-Up Specialist to optimize revenue recovery by managing denials and follow-up with payers.

The role collaborates with the Revenue Cycle Management (RCM) team to investigate, correct, and resubmit denied claims, reducing accounts receivable days and improving cash flow.

Qualifications include three years in medical Billing, knowledge of payer requirements, denial codes, and proficiency with EHR and RCM software.