Remote Denials & Appeals Specialist

Partner Company; United States; Remote; USD 70,000 - 95,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Retirement plan

Tuition assistance

Job summary

Partner Company is a healthcare organization focused on pediatric care and research, seeking a specialist to manage denial and appeal follow-up within a fully remote team. The role requires working with revenue integrity teams and leveraging tracking systems to monitor performance.

Candidates should bring experience in revenue cycle operations, Epic/EDI knowledge, and medical coding skills to interpret EOB/835 documents and resolve payment issues efficiently.

Qualifications

• 5-7 years of healthcare revenue cycle experience.
• Proficiency with Epic, EDI, and medical coding.
• Experience with denial management and appeals processes.

Responsibilities

• Coordinate denial and appeal follow-up to resolve insurance denials.
• Collaborate with revenue integrity teams in a fully remote setting.
• Maintain tracking systems and analyze performance data.
• Investigate payment issues and interpret EOB/835 documents.

Skills

Revenue cycle experience

Epic

EDI

Medical coding knowledge

Job description

Partner Company is a healthcare organization focused on pediatric care and research, seeking a specialist to manage denial and appeal follow-up within a fully remote team. The role requires working with revenue integrity teams and leveraging tracking systems to monitor performance.

Candidates should bring experience in revenue cycle operations, Epic/EDI knowledge, and medical coding skills to interpret EOB/835 documents and resolve payment issues efficiently.