Senior Medical Claims & Denials Specialist (Remote)

Currance, Inc.; Irvine (CA); Remote; USD 85,000 - 120,000; Full time

Job summary

Currance, Inc. is seeking an experienced Accounts Receivable Specialist III to manage complex hospital billing accounts across major commercial and government payers. The role emphasizes payer knowledge, accuracy, and independent work to meet productivity and quality goals.

Join a team supporting CST-based hospitals, using MedHost and multiple payer portals. This senior position requires 3+ years in medical claims, strong ICD-10/CPT/HCPCS knowledge, and proficiency with EHR/EMR systems such as

Qualifications

• High school diploma or equivalent; Associate's degree preferred.
• CRCR certification or completion within 90 days of hire.
• Minimum 3 years of experience securing medical claim payments and managing denials.
• Advanced knowledge of ICD-10, CPT/HCPCS, payer policies, and reimbursement regulations.
• Experience using EHR/EMR systems (Meditech, Epic, Cerner, Allscripts, Nextgen or similar).
• Proficiency with Microsoft Office Suite and collaboration tools (Teams).

Responsibilities

• Independently manage high-dollar, high-volume, and complex accounts with significant financial impact.
• Submit accurate medical claims per federal, state, and payer guidelines.
• Resolve multi-level denials with advanced research and payer escalation.
• Investigate and follow up with payers to collect AR.
• Prepare and submit first- and second-level appeals with supporting documentation.
• Oversee EHR workflows and reroutes across Epic, Cerner, Meditech, Allscripts.
• Review EOBs to resolve discrepancies and underpayments.
• Complete rebills and corrections to maximize reimbursement.
• Stay informed about payer guideline changes and trends.

Skills

CRCR certification

ICD-10 knowledge

CPT/HCPCS knowledge

Payer policies knowledge

Negotiation skills

Research skills

Problem-solving

EHR/EMR experience

Microsoft Office/Teams

Education

High school diploma or equivalent

Associate's degree preferred

Tools

Meditech

Epic

Cerner

Allscripts

Nextgen

Job description

Currance, Inc. is seeking an experienced Accounts Receivable Specialist III to manage complex hospital billing accounts across major commercial and government payers. The role emphasizes payer knowledge, accuracy, and independent work to meet productivity and quality goals.

Join a team supporting CST-based hospitals, using MedHost and multiple payer portals. This senior position requires 3+ years in medical claims, strong ICD-10/CPT/HCPCS knowledge, and proficiency with EHR/EMR systems such as