This list contains only the countries for which job offers have been published in the selected language (e.g., in the French version, only job offers written in French are displayed, and in the English version, only those in English).
Our client is looking for a medical biller who has experience with the denials process for healthcare companies. This role is 100% onsite and will be a standard 8am - 5pm schedule.
Job Responsibility:
Review, analyze, and interpret medical claim denials from insurance companies
Investigate root causes of denials and work to resolve them via appeals or corrected submissions
Communicate professionally with payers to gather needed information and negotiate claim resolution
Collaborate with providers, coders, and revenue cycle staff to prevent future denials
Maintain detailed records of denied claims and actions taken
Prepare and submit written appeals with supporting documentation as needed
Monitor payer trends and identify opportunities to enhance billing and collections processes
Ensure compliance with all regulatory guidelines and organizational policies
Meet daily and monthly productivity targets for denial resolution and claims follow-up
Requirements:
Previous experience in medical billing, claims processing, or healthcare revenue cycle management (required)
Deep understanding of insurance guidelines (including Medicare/Medicaid and commercial payers)
Expertise in researching, analyzing, and resolving medical claim denials
Strong communication, negotiation, and problem-solving skills
Proficient with billing software and electronic health record (EHR) systems
High attention to detail and ability to manage multiple priorities
What we offer:
medical, vision, dental, and life and disability insurance