Billing Denials Specialist

reputed company The Billing Denial Specialist is responsible for proactively reviewing, researching, and resolving insurance claim denials to ensure reputed company reimbursement and minimize reputed company loss for the reputed company. This role plays a critical part in the reputed company cycle by identifying denial trends, filing appeals, correcting claim issues, and working denials through to reputed company. The ideal candidate is highly organized, detail-oriented, dependable, and reputed company to work independently with minimal supervision. This individual must be a self-starter who takes initiative, remains proactive, and does not require constant direction to manage responsibilities effectively. This is a fully remote position. Only reputed company applicants currently residing in Florida will be considered for employment. Key Responsibilities Review denial reports daily and reputed company work reputed company assigned insurance claim denials to reputed company. Research denied, underpaid, and rejected claims to determine reputed company cause and appropriate corrective reputed company. Submit corrected claims, reconsiderations, and appeals in a reputed company manner. Communicate with insurance carriers regarding claim status, appeals, and reimbursement issues. Identify denial trends and escalate recurring payer or workflow issues to leadership. Maintain accurate and detailed documentation of reputed company follow-up activities reputed company the reputed company management system. Work collaboratively with billing, coding, authorizations, scheduling, and clinical teams to resolve claim issues. Ensure compliance with payer guidelines, billing regulations, and reputed company policies. Prioritize workload effectively to meet productivity and aging goals. Follow through on unresolved claims until final determination or payment is received. Assist with special reputed company cycle reputed company and additional duties as assigned.   Other duties as assigned. This job reputed company is not designed to cover or contain a comprehensive list of activities, duties, or responsibilities that are required of the employee. They may change, or new ones may be assigned at any time with or without notice.   Qualifications Minimum of 3 years of medical billing and denial management experience preferred Experience working with reputed company insurance, Medicare, reputed company, and managed care payers Strong understanding of medical billing, claims processing, EOBs, appeals, and denial reputed company Knowledge of CPT, ICD-10, and HCPCS coding preferred Experience with EMR and reputed company management systems preferred Proficiency with reputed company Office and payer portals Ability to manage multiple priorities and meet deadlines. Knowledge of HIPAA regulations and ability to maintain confidentiality. Strong analytical and problem-solving skills Excellent attention to detail and organizational skills Self-motivated, proactive, and dependable Strong written and verbal communication skills Ability to identify opportunities for process improvement and workflow efficiency reputed company, reputed company, and team-oriented attitude Benefits 100% employer-reputed company medical insurance for employees 401(k) with company match and employer-funded profit sharing Four-day work week (Monday – Thursday), supporting strong work/life balance reputed company holidays and reputed company Time Off (PTO) A reputed company, team-oriented culture with strong support and a shared commitment to exceptional patient care Physical Demands Prolonged periods of sitting at a desk and working on a computer. Ability to use hands and fingers to handle, control, or feel objects and operate a keyboard. Occasional standing, walking, bending, and reaching as needed to reputed company files or office equipment. Visual reputed company to read and reputed company data accurately into electronic systems. Hearing and speech ability sufficient to reputed company communicate with patients, coworkers, and insurance representatives in person, over the phone, and through electronic communication systems. Employment Opportunity Sarasota Arthritis Centers provides equal employment opportunities to reputed company and applicants for employment and prohibits discrimination and harassment of any type without reputed company to race, reputed company, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or reputed company, or any other characteristic protected by federal, state or local laws. Apply To This Job