Remote Hospital Claims Specialist – Denials & Appeals

Addison Group; Tennessee; À distance; USD 30 000 - 34 000; Plein temps

Résumé du poste

Addison Group is partnering with a healthcare revenue cycle organization that focuses on hospital accounts receivable recovery, denial management, and complex claims resolution. This remote role in Tennessee offers a flexible schedule and strong leadership support for long-term career growth.

The Medical Collections Specialist will manage professional billing accounts, research denials, submit appeals, and ensure timely reimbursement from insurers, requiring sharp analytics and the ability to

Qualifications

• 2+ years of recent Hospital collections (UB04) experience.
• Recent Epic experience required (within the last 3 years).
• Recent experience with denials, appeals, insurance follow-up, and claim resolution.

Responsabilités

• Investigate and resolve denied, underpaid, and unpaid professional claims.
• Conduct insurance follow-up with commercial and government payers.
• Prepare and submit appeals with supporting documentation.
• Analyze denial trends and identify opportunities for process improvement.
• Review and interpret EOBs and payer correspondence.
• Ensure timely filing requirements are met for maximum reimbursement.
• Maintain detailed documentation of claim activity, appeals, and account resolutions.
• Work closely with payers to resolve reimbursement issues and claim discrepancies.
• Escalate complex accounts when additional review or intervention is needed.
• Meet established productivity and quality metrics.

Connaissances

Hospital collections UB04

Epic experience

Denials & appeals

Description du poste

Addison Group is partnering with a healthcare revenue cycle organization that focuses on hospital accounts receivable recovery, denial management, and complex claims resolution. This remote role in Tennessee offers a flexible schedule and strong leadership support for long-term career growth.

The Medical Collections Specialist will manage professional billing accounts, research denials, submit appeals, and ensure timely reimbursement from insurers, requiring sharp analytics and the ability to