Take on a critical role in healthcare revenue cycle management by analyzing Explanation of Benefits (EOBs), validating denial reasons, and generating appeals to recover underpaid or denied claims. This fully remote opportunity offers stability, growth, and the chance to make a measurable impact on financial outcomes.
About Conifer Health Solutions
Conifer Health, part of Tenet Healthcare, has over 30 years of expertise helping healthcare providers improve financial and clinical performance. Serving more than 135 regions nationwide, Conifer is dedicated to transitioning organizations to value-based care and improving the patient healthcare experience.
Schedule
- Fully remote position
- Full-time, day shift
- Hourly pay: $18.60 – $28.00 (based on qualifications and location)
- Eligible for sign-on bonus for qualified new hires
- Time and a half for Conifer-observed holidays
What You’ll Do
- Review EOBs to validate denial reasons and ensure accurate coding in DCM systems
- Generate appeals based on contract terms and payer guidelines, including online reconsiderations
- Escalate exhausted appeals for resolution and identify trends in denials or payment variances
- Research contracts and compile supporting documentation for appeals and adjudication issues
- Partner with the Clinical Resource Center for clinical consultations or referrals when needed
- Support payer projects, escalations, and corrective action routing in systems
- Report denial trends to leadership for payor escalation and resolution
What You Need
- High school diploma or equivalent required; some college coursework preferred
- 3–5 years of experience in hospital billing, collections, or business office environment
- Intermediate knowledge of EOBs, managed care contracts, and federal/state requirements
- Understanding of ICD-9, HCPCS/CPT coding, and medical terminology
- Familiarity with UB-04 hospital billing forms
- Intermediate Microsoft Office skills (Word, Excel)
- Strong written communication skills, including business letter writing
- Detail-oriented with strong problem-solving skills
Benefits
- Medical, dental, vision, life, and disability insurance
- Paid time off (minimum 12 days annually, accrual-based) and 10 paid holidays
- 401(k) with up to 6% employer match
- Health savings accounts and dependent care FSAs
- Employee assistance and discount programs
- Voluntary benefits including pet insurance, legal coverage, accident/critical illness, long-term care, and more
This position is actively hiring—join a healthcare leader where your expertise helps ensure providers are paid accurately and fairly.
Turn denials into approvals with Conifer.
Happy Hunting,
~Two Chicks…