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Wellnite

Senior US Health Insurance Billing Denial Management Specialist (Behavioral Health)

5-7 Years
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  • Posted 19 hours ago
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Job Description

Location: Remote

Compensation: Competitive – Based on Experience + Performance Bonus

Wellnite is looking for an experienced Senior Billing Denial Management Specialist to join our growing Revenue Cycle team.

Requirements
  • Minimum 5 years of medical billing denial management experience
  • Strong knowledge of claim denials, appeals, corrections, and resubmissions
  • Able to independently identify root causes and resolve billing issues
  • Experience working with commercial insurance payers (Aetna, Cigna, BCBS, Optum/United, etc.)
  • Excellent attention to detail and organizational skills
  • Fluent in written and spoken English
  • Able to talk to customers and insurance reps on the phone
  • Have sill to resolve 50-100 claims per day
Responsibilities
  • Review and resolve insurance claim denials
  • Correct and resubmit denied claims
  • Submit appeals when appropriate
  • Follow up with insurance companies to maximize reimbursement
  • Maintain accurate documentation of all claim activity
  • Meet daily productivity and quality goals
Performance Expectations
  • Successfully review and resolve 50–100 denied claims per day while maintaining high accuracy.
Bonus Points
  • Experience with Behavioral Health billing (therapy and psychiatry)
  • Familiarity with telehealth billing
  • Experience using Claim.MD, Availity and other similar clearinghouses

  • Compensation

    We offer competitive pay based on your experience and qualifications.

    If you're a highly experienced denial specialist who enjoys solving complex billing issues and wants to make an impact, we'd love to hear from you!

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    About Company

    Job ID: 151258669