Denials Management Follow Up Representative (Fully Remote)

Partner Company; United States; À distance; USD 70 000 - 95 000; Plein temps

Avantages offerts par ce poste

Medical insurance

Dental insurance

Vision insurance

Retirement plan

Tuition assistance

Résumé du poste

Partner Company is a healthcare organization focused on pediatric care and research, seeking a specialist to manage denial and appeal follow-up within a fully remote team. The role requires working with revenue integrity teams and leveraging tracking systems to monitor performance.

Candidates should bring experience in revenue cycle operations, Epic/EDI knowledge, and medical coding skills to interpret EOB/835 documents and resolve payment issues efficiently.

Qualifications

• 5-7 years of healthcare revenue cycle experience.
• Proficiency with Epic, EDI, and medical coding.
• Experience with denial management and appeals processes.

Responsabilités

• Coordinate denial and appeal follow-up to resolve insurance denials.
• Collaborate with revenue integrity teams in a fully remote setting.
• Maintain tracking systems and analyze performance data.
• Investigate payment issues and interpret EOB/835 documents.

Connaissances

Revenue cycle experience

Epic

EDI

Medical coding knowledge

Description du poste

• Coordinate denial and appeal follow-up to resolve insurance denials.
• Collaborate with revenue integrity teams in a fully remote setting.

Key Responsibilities:

• Maintain tracking systems and analyze performance data.
• Investigate payment issues and interpret EOB/835 documents.

Requirements:

• 5-7 years of healthcare revenue cycle experience.
• Epic, EDI, and medical coding knowledge required.
• Medical, dental, vision, retirement, and tuition assistance.

Partner Company

This healthcare organization specializes in pediatric care and research, focusing on operational excellence. The team fosters a collaborative culture centered on quality, accountability, and continuous improvement.