Denials Specialist/medical record WORK FROM HOME JOB for Central time

Job Overview Join our dynamic team as a Denials Specialist working remotely from home, dedicated to managing and resolving medical claim denials with precision and efficiency. This vital role focuses on analyzing denied claims, reviewing medical records, and collaborating with healthcare providers and insurance companies to ensure accurate reimbursement. Ideal candidates are detail-oriented, proactive, and passionate about improving the revenue cycle process in a fast-paced healthcare environment. Working within the Central time zone, you'll enjoy the flexibility of a work-from-home setup while contributing to a critical aspect of healthcare administration. Responsibilities • Review and analyze insurance claim denials related to medical billing, coding, and documentation discrepancies. • Request and review medical records, ensuring completeness and accuracy for claims reconsideration. • Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems to access patient information and update claim statuses. • Apply knowledge of DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology) coding, ICD-9, ICD-10, and ICD coding standards to identify errors or issues causing denials. • Collaborate with healthcare providers, insurance companies, and internal teams to resolve discrepancies and re-submit corrected claims promptly. • Maintain detailed documentation of denial reasons, correspondence, and actions taken for audit purposes. • Stay updated on industry regulations, insurance policies, and coding guidelines to ensure compliance and optimize claim approvals. Experience • Proven experience in medical billing or collections with a strong understanding of the revenue cycle process. • Familiarity with medical terminology, medical records management, and coding practices such as DRG, CPT coding, ICD-9/10. • Hands-on experience with EMR/EHR systems used in healthcare settings. • Knowledge of medical office procedures and familiarity with insurance claim processes. • Strong attention to detail with excellent organizational skills to manage multiple cases efficiently. • Ability to interpret complex medical information accurately and communicate effectively across teams. Join us in transforming healthcare administration by ensuring claims are accurately processed and denied claims are swiftly resolved! This is your opportunity to work from home while making a meaningful impact in the healthcare industry through your expertise in medical coding, billing, and record management. Pay: $22.00 - $22.47 per hour Expected hours: 40.0 per week Benefits: • 401(k) • Dental insurance • Health insurance • Vision insurance Work Location: Remote Apply tot his job Apply To this Job