Remote Denials & Appeals Coordinator

CorroHealth, Inc.; Oregon; Hybrid; USD 30,000 - 48,000; Full time

Benefits offered by this job

Medical/Dental/Vision Insurance

401k matching

PTO 80 hours annually

Job summary

CorroHealth, Inc. is seeking a billing specialist to support Revenue Cycle operations. This role focuses on differentiating clinical and technical denials, reviewing UB04/HCFA forms, and handling appeals with payer communications to optimize reimbursements.

The position is remote within the United States, with standard 8:00 AM to 5:00 PM EST hours from Monday to Friday. A four-year degree or equivalent experience is preferred, along with strong analytical and communication skills.

Qualifications

• Four-year degree preferred or equivalent experience in hospital-related billing/follow-up.
• Experience with managed care contracts.
• Experience with customer support/client issue resolution management.
• Strong analytical acumen.
• Strong communication skills.
• Strong multi-tasking skills.
• Proficiency with MS Office.

Responsibilities

• Differentiates between clinical and technical denials through EOBs, denial letters, payer correspondence and data mining.
• Reviews UB04 and/or HCFA 1500 Form.
• Reviews timely filing guidelines regarding the appeals process.
• Contacts payer by phone to negotiate resolution on technical denials.
• Appeals denials using letters, medical records and supporting documentation; may involve on-staff clinicians.
• Evaluates appeal outcomes for next steps and logs funds recovered.

Skills

Analytical skills

Communication skills

Multi-tasking

Education

Four-year degree or equivalent experience

Tools

MS Office

Job description

CorroHealth, Inc. is seeking a billing specialist to support Revenue Cycle operations. This role focuses on differentiating clinical and technical denials, reviewing UB04/HCFA forms, and handling appeals with payer communications to optimize reimbursements.

The position is remote within the United States, with standard 8:00 AM to 5:00 PM EST hours from Monday to Friday. A four-year degree or equivalent experience is preferred, along with strong analytical and communication skills.