Remote Technical Denials Specialist - Healthcare Revenue

St. Elizabeth Healthcare; Erlanger (KY); Remote; USD 52,000 - 64,000; Full time

Benefits offered by this job

Health coverage

PTO & flexible schedules

Retirement savings with employer 2%+

Tuition reimbursement

Wellness programs

Mentorship & internal mobility

Job summary

St. Elizabeth Healthcare is hiring a Technical Denials Specialist. This full-time role performs analysis, denial investigations, and follow-up to resolve non-clinical denials, initially training on-site before transitioning to remote work.

You will collaborate with payer relations, utilize multiple systems, and prepare appeals to maximize revenue while ensuring compliance with policies, HIPAA, and regulatory requirements.

Qualifications

• Associates degree or equivalent with healthcare experience.
• 3 years of related experience with customer service.
• Knowledge of Medicare/Medicaid regulations.
• Ability to analyze denials and prepare payer appeals.

Responsibilities

• Reviews, researches and addresses non-clinical denials.
• Addresses all accounts assigned to work queues and completes necessary activity.
• Performs extensive follow-up, completes appeals and referrals to other stakeholders.
• Investigates and provides timely information to ensure resolution of accounts.
• Documents follow-up or patient accounts appropriately.
• Interfaces with internal/external staff to address payment variance issues.

Skills

Attention to detail

Analytical thinking

Communication skills

Education

Associates degree

High School Diploma + Certified Revenue Cycle Representative + 3 years related experience

Tools

Microsoft Office

Job description

St. Elizabeth Healthcare is hiring a Technical Denials Specialist. This full-time role performs analysis, denial investigations, and follow-up to resolve non-clinical denials, initially training on-site before transitioning to remote work.

You will collaborate with payer relations, utilize multiple systems, and prepare appeals to maximize revenue while ensuring compliance with policies, HIPAA, and regulatory requirements.