Revenue Cycle Denials & Appeals Specialist II

Abington Memorial Hospital; United States; On-site; USD 55,000 - 75,000; Full time

Job summary

Abington Memorial Hospital in Willow Grove, PA, is seeking a Revenue Cycle Representative II to manage complex claim denial resolutions by coordinating with payers, hospital departments and patients.

You will lead appeals, perform authorization research, rebilling, and balance write-offs, and maintain current knowledge of payer regulations, contract language and coding guidelines to improve denial outcomes.

Qualifications

• Education: High School Diploma or GED required; associates or bachelor’s degree preferred.
• Experience: Minimum 3 years in hospital revenue cycle.
• Knowledge: Insurance plans, contract language, billing and coding guidelines.

Responsibilities

• Review and initiate denial resolutions with payers, departments, and patients.
• Execute appeals with authorization research, rebilling, and balance write-offs.
• Correspond with third party payers and hospital departments to gather denial information.
• Maintain knowledge of third-party regulations for appeals and follow-up.

Skills

Patient communication

Payer communication

Independent work

Team collaboration

Education

High School Diploma/GED

Associates or Bachelors preferred

Job description

Abington Memorial Hospital in Willow Grove, PA, is seeking a Revenue Cycle Representative II to manage complex claim denial resolutions by coordinating with payers, hospital departments and patients.

You will lead appeals, perform authorization research, rebilling, and balance write-offs, and maintain current knowledge of payer regulations, contract language and coding guidelines to improve denial outcomes.