IMPACT YOU WILL MAKE

Are you an expert in healthcare insurance reimbursement? Do you thrive on solving complex insurance denials and underpayments? Join our team and play a vital role in ensuring hospitals receive the reimbursements they deserve.
We’re looking for an experienced Healthcare Denials Specialist to analyze and resolve payer denials and underpayments. You’ll be part of a dynamic team using cutting-edge ARO software to streamline medical claims and collections. As a Denials Specialist II, you will also have the opportunity to mentor junior representatives.

WHAT YOU WILL DO

• Investigate and resolve insurance denials and underpayments
• Call healthcare insurance companies, affiliates, and providers to resolve underpayment or denial issues
• Analyze contracts, billing, and collections to ensure accurate reimbursement
• Work closely with leadership and team members to identify denial trends and process improvements
• Create appeals, patient correspondences, and payer communication to support claim resolutions
• Maintain HIPAA compliance and accurately document all work performed