Denials Follow Up Rep

Responsibilities:

• Review and analyze insurance denials using EOBs, payer correspondence, and claims data to determine appropriate resolution strategies.
• Differentiate between clinical and technical denials and identify required next steps for appeals or reprocessing.
• Prepare and submit appeals using supporting documentation such as medical records, appeal letters, and clinical justification when necessary.

Requirements:

• High school diploma required; bachelor’s degree preferred or equivalent experience in hospital billing or revenue cycle operations.
• At least 2 years of experience in healthcare billing, claims follow-up, or denial management.
• Strong understanding of insurance claim processes, including clinical and technical denial classification.

Benefits:

• Comprehensive medical, dental, and vision insurance coverage.
• 401(k) retirement savings plan.
• 80 hours of annual paid time off plus 9 paid holidays.