Denials Revenue Specialist

Socket.dev; Franklin (TN); On-site; USD 50,000 - 70,000; Full time

Job summary

EnableComp in Franklin, TN seeks a Revenue Specialist, Denials to bridge client contacts and the denials appeal process. You will audit denials and drive resolution of outstanding claims with healthcare payers, while handling PHI securely.

Responsibilities include gathering records, following up with payers, and ensuring prompt, accurate reimbursement. Strong communication and healthcare billing experience are essential for success in this role.

Qualifications

• 5+ years’ experience in healthcare billing or collections.
• Strong understanding of payer/provider claims processing.
• Familiar with ICD, HCPCS and CPT coding.

Responsibilities

• Audit denials and resubscribe for payer reimbursement.
• Coordinate with clients to gather medical records and documentation.
• Follow up with payers to ensure timely payment.

Skills

Denials management

Claims processing

Customer service

Payer negotiations

Education

High School Diploma or GED

Associates or Bachelor's Degree preferred

Tools

MS Office (Word, Excel, Outlook)

Job description

EnableComp in Franklin, TN seeks a Revenue Specialist, Denials to bridge client contacts and the denials appeal process. You will audit denials and drive resolution of outstanding claims with healthcare payers, while handling PHI securely.

Responsibilities include gathering records, following up with payers, and ensuring prompt, accurate reimbursement. Strong communication and healthcare billing experience are essential for success in this role.