Remote Insurance Denials Specialist

Konsus, Inc. (Superside); United States; Remote; USD 45,000 - 65,000; Full time

Job summary

Konsus, Inc. (Superside) is seeking a Remote Insurance Denials Representative to manage claims denials and ensure accurate coding. The role involves validating disputes, including reviewing Explanation of Benefits (EOB), and requires 1-4 years of revenue cycle experience. This position offers opportunities for those with hospital claims experience and knowledge of coding practices.

Qualifications

• 1-4 years of Revenue Cycle Experience preferred.
• Familiarity with hospital claims, denials, EOB, UB-04, ICD9, HCPCS/CPT coding.

Responsibilities

• Validate dispute reasons following Explanation of Benefits (EOB) review.
• Ensure accurate coding in DCM reflecting denial reasons.
• Coordinate with Clinical Resource Center for consultations or referrals.

Skills

Revenue Cycle Experience

Coding Knowledge

Education

High School Diploma or GED

Job description

A company is looking for a Remote Insurance Denials Representative.

Key Responsibilities

• Validate dispute reasons following Explanation of Benefits (EOB) review and escalate payment variance trends to management
• Ensure accurate coding in DCM that reflects denial reasons
• Coordinate with the Clinical Resource Center for clinical consultations or account referrals as needed

Required Qualifications

• 1-4 years of Revenue Cycle Experience preferred
• Previous hospital claims and denials experience, with familiarity in EOB, UB-04, ICD9, HCPCS/CPT coding
• High school diploma or GED