Medical Billing Specialist (Denials)

POSITION SUMMARY

This position is responsible for investigating, resolving, and appealing denied medical insurance claims to maximize revenue and minimize outstanding accounts receivable. This role requires a strong understanding of insurance guidelines, billing codes, and medical documentation standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Process denied claims and follow up with insurance companies to resolve discrepancies or reimbursement issues.
• Audit patient charts to confirm proper coding and documentation for billing accuracy.
• Read, analyze, and interpret Explanation of Benefits (EOBs) to determine next steps for claim resolution.
• Ensure all denials are submitted with complete and accurate information.
• Ensure that denials are worked on daily and assist with tasks as assigned.
• Process electronic and paper payment postings efficiently and accurately.
• Communicate regularly with administrative and clinical staff, preparing detailed reports for administration as needed.

EDUCATION AND/OR EXPERIENCE

• High school diploma or GED required
• Two years of medical denial experience required
• Previous experience accessing insurance portals
• Proficient in Microsoft Excel and EMR systems, eCW preferred
• Strong analytical and communication skills with exceptional attention to detail

Why Join Us?

Benefits Include:

• 401(k) retirement plan
• Medical insurance
• Dental insurance
• Vision insurance
• Health Savings Account (HSA)
• Life insurance
• Paid Time Off (PTO)
• Uniform allowance
• Additional supplemental plan available as well!

Position Type: Full-Time