(Remote – Nationwide or Ohio)
🧾 About the Role
Ensemble Health Partners is hiring a full-time Denials Specialist to support claim resolution and appeals. This role focuses on analyzing medical necessity denials, preparing appeals, and collaborating with both insurance companies and internal clinical teams. If you’re detail-oriented and thrive in fast-paced healthcare environments, this is your lane.
✅ Position Highlights
• Pay: $16.00 – $22.35 per hour (based on experience)
• Employment Type: Full-time
• Location: Remote (U.S. based, including Ohio)
• Bonus-eligible role with career development support
• Benefits include healthcare, retirement plans, tuition reimbursement, and paid certifications
📋 What You’ll Own
• Investigate claim denials and contact payers for clarification
• Determine if appeals are needed and prepare supporting documentation
• Review and submit medical records as required
• Coordinate with providers, case managers, and HIM teams
• Track appeal deadlines and ensure timely submissions
• Identify denial trends and recommend corrective actions
• Contribute to continuous improvement in denial management processes
🎯 Must-Have Traits
• Associate’s degree or equivalent work experience
• 1–3 years in denials management, case review, or utilization review
• Familiarity with medical records, chart audits, and hospital workflows
• Typing speed of 35+ WPM
• Excellent communication and organizational skills
• Comfortable working independently in a deadline-driven environment
✨ Preferred Qualifications
• RN or background in a clinical setting
• 2+ years of hands-on denials or appeals experience
• Experience collaborating with payer/provider relations teams
💻 Remote Requirements
• Secure home office free from distractions
• Reliable high-speed internet
• Compliance with company telecommuting and privacy policies
💡 Why It’s a Win for Remote Job Seekers
You’ll join a mission-driven team recognized for innovation and growth—all while working from home. Ensemble Health Partners empowers its employees with real opportunity for impact, strong leadership support, and a path to grow in healthcare operations.
✍️ Call to Action
Ready to turn denials into approvals and bring real change to healthcare revenue cycles? Apply now to join Ensemble Health Partners as a remote Denials Specialist.