Remote Insurance Denials Specialist

Job Summary

A company is looking for a Remote Insurance Denials Representative to manage medical record requests and resolve claims issues.

Key Responsibilities

• Review incoming medical record requests for post-payment audit criteria
• Manage follow-up on medical records, audit findings, and collaborate with departments for issue resolution
• Validate dispute reasons from Explanation of Benefits (EOB) and generate appeals for denied or underpaid claims

Required Qualifications

• 1-4 years of Revenue Cycle Experience preferred
• Previous experience with insurance denials
• High school diploma or GED