Job Title: Medical Billing Denials & Appeals Specialist
Schedule: Full-Time | Monday to Friday | 9:00 AM - 5:00 PM
Job Title: Medical Billing Denials & Appeals Specialist (Remote)
Job Overview
We are seeking a detail-oriented and experienced
Medical Billing Denials & Appeals Specialist to join our team. This role focuses on reviewing denied claims, communicating with insurance companies, and ensuring accurate and timely follow-ups to maximize reimbursements. The ideal candidate is highly organized, a fast learner, and confident in navigating medical billing systems while maintaining professional communication with both insurers and internal stakeholders.
This is a
remote position, and candidates from any country are welcome to apply, provided they meet the required qualifications.
Key Responsibilities
- Review and analyze denied or rejected medical claims to determine the root cause.
- Contact insurance companies via phone to follow up on denied claims and obtain claim status updates.
- Prepare and submit appeals with accurate documentation and supporting information.
- Coordinate with clients or internal teams to gather required patient or claim details.
- Update billing systems and maintain clear documentation of all follow-up actions.
- Ensure compliance with insurance guidelines and medical billing regulations.
- Work efficiently to reduce claim aging and improve reimbursement turnaround time
Requirements
- Strong experience in medical billing denials and appeals.
- Proven ability to communicate clearly and professionally in fluent English (verbal and written).
- Comfortable making frequent outbound calls to insurance providers.
- Fast learner with the ability to quickly understand workflows and navigate billing systems.
- Detail-oriented, analytical, and highly organized.
- Trustworthy, reliable, and able to work independently in a remote environment.
- Experience using medical billing or practice management systems is highly preferred.
- Work Setup
- Remote position
- Open to candidates worldwide (including but not limited to the Dominican Republic, Philippines, Pakistan, North America, and South America).
- Must have a stable internet connection and a quiet work environment for phone communication
