Medical Billing & Claims Denials Specialist

Brown Medicine; United States; Remote; USD 28,000 - 45,000; Full time

Job summary

Brown University Health seeks a detail‑oriented Follow‑Up Claims Clerk to manage outstanding claims and correct denied ones for a large physician multi‑specialty practice in Providence, RI. You will work under the Follow‑Up Supervisor and ensure HIPAA compliance while coordinating with internal teams.

Responsibilities include reviewing denials, submitting corrected or appealed claims, tracking payer updates, and analyzing denial trends to improve revenue cycle efficiency.

Qualifications

• High school diploma or equivalent required.
• Knowledge of 3rd party billing including ICD, CPT, HCPCS and 1500 claim forms.
• Demonstrated communication, problem-solving and analytical skills.
• Experience with Epic is a plus.

Responsibilities

• Review denied claims, correct them in the system and submit appealed or corrected claims.
• Identify and analyze denials to implement corrective measures.
• Stay current on payer updates and HIPAA compliance when handling claims.
• Coordinate with internal departments to obtain missing information.
• Report denial trends to improve revenue cycle performance.
• Handle payer inquiries and retrieve medical records as needed.
• Escalate unresolved accounts to supervisor and suggest process improvements.

Skills

Critical thinking

Diplomacy

Relationship-building

Communication

Problem-solving

Inductive reasoning

Billing knowledge

Education

High school diploma

Tools

Epic

Job description

Brown University Health seeks a detail‑oriented Follow‑Up Claims Clerk to manage outstanding claims and correct denied ones for a large physician multi‑specialty practice in Providence, RI. You will work under the Follow‑Up Supervisor and ensure HIPAA compliance while coordinating with internal teams.

Responsibilities include reviewing denials, submitting corrected or appealed claims, tracking payer updates, and analyzing denial trends to improve revenue cycle efficiency.