Denials Resolution Specialist - Medical Billing

Guidehouse; Birmingham (AL); On-site; USD 32,000 - 42,000; Full time

Job summary

Guidehouse is seeking a Central Denials Account Representative in the United States to perform comprehensive account reviews and resolve insurance claim denials and balances. You will handle UB04 and 1500 files, perform non-clinical appeals, and collaborate with supervisors on complex issues.

The role emphasizes strong written and verbal communication, ability to work independently, and cross-department coordination to ensure timely patient account resolution.

Qualifications

• 0-2 years medical billing experience with UB04, appeals & denials.
• Ability to interpret reimbursement aspects of managed healthcare contracts.
• Excellent customer service and problem-solving skills.

Responsibilities

• Conduct account reviews to resolve denials and balances.
• Make outbound calls to Insurance Companies to resolve claim denials.
• Escalate payer issues to a supervisor.
• Communicate with other departments to ensure proper handling of patient accounts.
• Resubmit corrected claims and supporting documentation as needed.

Job description

Guidehouse is seeking a Central Denials Account Representative in the United States to perform comprehensive account reviews and resolve insurance claim denials and balances. You will handle UB04 and 1500 files, perform non-clinical appeals, and collaborate with supervisors on complex issues.

The role emphasizes strong written and verbal communication, ability to work independently, and cross-department coordination to ensure timely patient account resolution.