Medical Billing Specialist / Denials Specialist

Key Responsibilities

• Review and manage denied or rejected insurance claims to ensure timely resolution and reimbursement
• Identify patterns and root causes of denials and coordinate with internal teams to correct and prevent future errors
• Submit corrected claims and appeal letters with appropriate documentation
• Post and reconcile payments, adjustments, and write-offs in the EMR and billing system
• Maintain a thorough understanding of payer-specific billing requirements, coding updates, and submission timelines
• Collaborate with intake, clinical, and billing teams to ensure claims accuracy and completeness
• Generate and maintain reports on denial trends and recovery outcomes
• Support overall revenue cycle initiatives as assigned

Requirements

• High school diploma or equivalent (required)
• Minimum 3 years of experience in medical billing and denial management (preferred in outpatient mental health or medical setting)
• Strong working knowledge of CPT, ICD-10, and insurance billing procedures
• Experience with electronic claim submission and payer portals
• Proficiency in Microsoft Word and Excel
• Excellent problem-solving, communication, and time management skills
• Ability to work both independently and collaboratively in a fast-paced environment

Qualifications

• Monday to Friday
• Full-Time, In-Person

Pay and Benefits

• Starting at $20.00 per hour, based on experience
• Benefits Include:
• 401(k) with employer matching
• Health, Dental, and Vision insurance
• Life insurance
• Paid time off
• Opportunities for growth and advancement

How to Apply

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