Remote Health Insurance Appeals Expert

Naukri Mitra; United States; Remote; USD 78,000 - 95,000; Full time

Benefits offered by this job

Remote-first

Health/dental/vision benefits

Paid vacation

401(k)

Job summary

Naukri Mitra is seeking a fully remote Health Insurance Appeals Specialist to streamline appeals, review denials, and improve reimbursement accuracy. The role blends clinical accuracy with insurer accountability, supporting fair outcomes for patients and providers across a distributed team.

You will handle admission to denial processes, write persuasive letters using medical records and payer guidelines, and ensure timely submissions while maintaining HIPAA-compliant documentation and

Qualifications

• At least 3 years of experience handling health insurance appeals, claims corrections, or billing errors.
• Familiarity with coding standards (ICD-10, CPT), EOB interpretation, and denial resolution.
• Clear, concise written communication and logical appeal writing.
• Self-direction, deadline awareness, and strong digital organization.

Responsibilities

• Appeals Review and Submission: Investigate rejected or underpaid claims; write customized appeal letters; ensure on-time submission; collaborate with billing and care teams.
• Communication and Coordination: Update insurers, patients, and providers; clarify complex explanations for transparency and accuracy.
• Documentation and Tracking: Log actions in the claim system; maintain HIPAA-compliant notes; identify denial patterns for leadership review.

Skills

Health insurance appeals

ICD-10/CPT coding

Written communication

Remote work

Education

CPB/CPC/RHIA certification

Tools

Change Healthcare

Waystar

EHR/EMR

HIPAA compliant systems

Job description

Naukri Mitra is seeking a fully remote Health Insurance Appeals Specialist to streamline appeals, review denials, and improve reimbursement accuracy. The role blends clinical accuracy with insurer accountability, supporting fair outcomes for patients and providers across a distributed team.

You will handle admission to denial processes, write persuasive letters using medical records and payer guidelines, and ensure timely submissions while maintaining HIPAA-compliant documentation and