Remote Medical Claims Denial & Appeals Specialist

CU Medicine; Oregon; Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Generous leave

Health plans

Retirement contributions

Job summary

CU Medicine is seeking a Medical Claims Denial & Appeals Specialist to join the Accounts Receivable Resolution team. This role can be performed 100% remotely; out-of-state candidates will be considered.

You will resolve insurance claim denials, craft effective appeals, and ensure compliance with contract language. Requires 3–5 years of medical billing experience with denials and appeals; ICD-10/CPT coding skills are essential, CPC preferred.

Qualifications

• 3–5 years experience in medical practice billing with denials, appeals and collections.
• ICD-10 and CPT coding skills; CPC certification preferred.
• Strong verbal and written communication; contracts language understanding.

Responsibilities

• Appeal denials through coding, contract and medical record reviews.
• Manage denied claims to resolve and optimize revenue.
• Analyze denial trends to prevent recurring issues.
• Communicate denial patterns to management and train new staff.
• Collaborate on special projects as needed.

Skills

ICD-10 coding

CPT coding

CPC certification

Verbal communication

Written communication

Denials & appeals

Education

Bachelor's degree in related field

Tools

EHR systems

Practice management software

Job description

CU Medicine is seeking a Medical Claims Denial & Appeals Specialist to join the Accounts Receivable Resolution team. This role can be performed 100% remotely; out-of-state candidates will be considered.

You will resolve insurance claim denials, craft effective appeals, and ensure compliance with contract language. Requires 3–5 years of medical billing experience with denials and appeals; ICD-10/CPT coding skills are essential, CPC preferred.