Investigate, resolve, and appeal complex insurance denials to support reimbursement and optimize the healthcare revenue cycle.
About the Company
We are a healthcare services provider focused on revenue cycle excellence. Our teams collaborate with patients, physicians, insurers, and staff to ensure accurate claims, timely appeals, and maximized reimbursement—all while maintaining compliance with federal, state, and payer regulations.
Schedule
- Fully remote role (California-based)
- Full-time position
- Standard business hours with collaboration across multiple stakeholders
What You’ll Do
- Research and resolve payer claim denials related to referrals, authorizations, medical necessity, and non-covered services
- Write and submit detailed, persuasive appeals using clinical documentation, payer policies, and contract terms
- Manage appeals and follow-ups via payer portals, calls, and correspondence
- Analyze EOBs, remittance advice, and denial remark codes to determine next steps
- Track and report recovery efforts, identifying denial trends and root causes
- Ensure appeals are filed within payer timeframes and documented in patient systems
- Collaborate with revenue cycle teams to achieve A/R goals and improve processes
- Escalate exhausted or unresolved claims as outlined by department policy
- Maintain confidentiality of all patient financial and medical records (HIPAA compliance)
What You Need
- Bachelor’s degree or equivalent work experience
- 3+ years in medical collections, denials, appeals, or insurance follow-up
- Strong knowledge of CPT/ICD-10 codes, payer guidelines, and insurance plans (HMO, PPO, etc.)
- Experience with payer portals (Navinet, Availity, etc.) and insurance appeal workflows
- Proficiency with Microsoft Office (Excel and Word required)
- Excellent written and verbal communication skills
- Strong judgment, problem-solving, and attention to detail
- Must pass a background check, including credit check due to financial responsibilities
Benefits
- $22–$24 per hour, based on skills and experience
- Medical, dental, and retirement plan (401k) options
- Fully remote role with a supportive, collaborative environment
Take your revenue cycle expertise to the next level and make a measurable impact on reimbursement outcomes.
Apply now and be part of a team that thrives on accuracy, compliance, and results.
Happy Hunting,
~Two Chicks…