Revenue-Cycle Claims & Reimbursement Specialist

Ultimate Staffing Services; Englewood (CO); On-site; USD 40,000 - 65,000; Full time

Job summary

Ultimate Staffing Services is seeking a Healthcare Claims & Reimbursement Specialist to support claim review, denial management, appeals, reimbursement recovery, and billing accuracy initiatives. This role focuses on investigating claim issues, resolving payment discrepancies, and maximizing reimbursement outcomes.

The position requires 2+ years of healthcare billing experience, strong attention to detail, and excellent communication skills, with preferred experience in appeals and payer

Qualifications

• 2+ years of healthcare billing, claims, reimbursement, denial management, or revenue cycle experience.
• Knowledge of insurance claims and reimbursement processes.
• Strong attention to detail and problem-solving skills.
• Excellent communication and organizational abilities.
• Experience with appeals, claim research, or payer follow-up preferred.

Responsibilities

• Review healthcare claims for accuracy and completeness.
• Research denied, rejected, and underpaid claims.
• Prepare and submit supporting documentation and appeals.
• Investigate billing discrepancies and reimbursement issues.
• Work with insurance payers to resolve claim-related concerns.
• Track claim activity and maintain accurate records.
• Identify trends and opportunities to reduce denials and improve claim quality.
• Collaborate with internal teams to resolve complex claim issues.

Skills

Healthcare billing

Denial management

Appeals handling

Payer follow-up

Attention to detail

Communication skills

Job description

Ultimate Staffing Services is seeking a Healthcare Claims & Reimbursement Specialist to support claim review, denial management, appeals, reimbursement recovery, and billing accuracy initiatives. This role focuses on investigating claim issues, resolving payment discrepancies, and maximizing reimbursement outcomes.

The position requires 2+ years of healthcare billing experience, strong attention to detail, and excellent communication skills, with preferred experience in appeals and payer