Remote Claims Denial & Appeals Specialist (ICD-10/CPT)

University of Colorado Medicine; Aurora (CO); Remote; USD 60,000 - 85,000; Full time

Job summary

University of Colorado Medicine (CU Medicine) is seeking a Medical Claims Denial & Appeals Specialist for our Accounts Receivable Resolution team. This role can be performed 100% remotely; out-of-state candidates are welcome.

The specialist resolves insurance claim denials, drafts effective appeals, and serves as a denial resolution expert for assigned divisions. Responsibilities include appeals through coding, contracts and records review; tracking denial patterns; training new staff; and

Qualifications

• 3–5 years experience in medical practice billing with denials, appeals, insurance collections and related follow-up.
• Bachelor’s degree in a related field strongly preferred.
• ICD-10 and CPT coding assessment skills; CPC certification preferred.

Responsibilities

• Appeal denials through coding review, contract review, medical record review and carrier interaction.
• Demonstrate expertise in management of complicated denied claims.
• Deploy analytical approach to resolve denials and identify trends.
• Utilize resources to ensure correct appeal processes are followed.
• Communicate denial patterns to management.
• Prioritize and process large volumes of denials with high quality.

Skills

Medical billing

Denials management

CPC certification

ICD-10/CPT coding

Communication skills

Training

Education

Bachelor's degree

Tools

MS Office

Job description

University of Colorado Medicine (CU Medicine) is seeking a Medical Claims Denial & Appeals Specialist for our Accounts Receivable Resolution team. This role can be performed 100% remotely; out-of-state candidates are welcome.

The specialist resolves insurance claim denials, drafts effective appeals, and serves as a denial resolution expert for assigned divisions. Responsibilities include appeals through coding, contracts and records review; tracking denial patterns; training new staff; and