Revenue Cycle Denials Specialist

Cullman Regional; Cullman (AL); On-site; USD 42,000 - 64,000; Full time

Job summary

Cullman Regional Medical Center in Cullman, AL is seeking a Medical Billing Denials Specialist to analyze claim denials, perform follow up, and help maximize reimbursements across the revenue cycle.

The role requires at least 3 years of medical billing experience, a high school diploma (some college preferred), and strong communication, confidentiality, and teamwork skills to collaborate with offices, billing and coding staff to improve denial management.

Qualifications

• Education requirement: High school diploma; some college preferred.
• Experience: minimum three years in Medical Billing.
• Healthcare billing knowledge and denial handling.

Responsibilities

• Analyzes claim denials and executes follow up to recover payment.
• Assists with provider credentialing and payor enrollment to maintain provider status and research denials.
• Coordinates with multiple departments to determine root causes of denials.
• Maintains a tracking log to monitor post-payment review findings and appeals.
• Identifies patterns in payor denials and reports recurring issues to management.
• Assists with claim submission, follow-up, and reporting needs throughout the clinically driven revenue cycle.
• Submits payer reconsiderations and appeals as necessary and completes follow-up for final resolution.
• Assists in the clinical revenue cycle to achieve the maximum appropriate reimbursement.
• Retrieves paper and electronic claims and remittance advice reports where necessary to overcome denials.
• Enters accurate and thorough documentation of pertinent events regarding the handling of the denial.
• Meets established production standards.
• Works in a collaborative fashion with the office, billing, and coding staff to improve overall processes.

Skills

Self-directed

Communication skills

Interpersonal skills

Teamwork

Customer service

Confidentiality

Independent work

Education

High school diploma

Some college coursework

Job description

Cullman Regional Medical Center in Cullman, AL is seeking a Medical Billing Denials Specialist to analyze claim denials, perform follow up, and help maximize reimbursements across the revenue cycle.

The role requires at least 3 years of medical billing experience, a high school diploma (some college preferred), and strong communication, confidentiality, and teamwork skills to collaborate with offices, billing and coding staff to improve denial management.