<p>We are seeking a detail-oriented <strong>Medical Denials Specialist</strong> to join our healthcare revenue cycle team. This role is responsible for reviewing, researching, and resolving denied or underpaid medical claims to support timely reimbursement and reduce revenue loss. The ideal candidate has strong knowledge of payer guidelines, appeals processes, and healthcare billing workflows.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Review denied, rejected, or underpaid insurance claims and identify root causes</li><li>Investigate payer denials related to coding, authorizations, eligibility, timely filing, medical necessity, and billing errors</li><li>Prepare and submit appeals with appropriate supporting documentation</li><li>Communicate with insurance carriers, patients, providers, and internal departments to resolve claim issues</li><li>Monitor and track denial trends and escalate recurring issues for process improvement</li><li>Maintain accurate and detailed account documentation in billing and practice management systems</li><li>Follow up on outstanding appeals and denied claims to ensure timely resolution</li><li>Partner with billing, coding, and patient access teams to reduce future denials</li><li>Ensure compliance with payer requirements, HIPAA, and internal policies</li></ul><p><br></p>
<p>We are seeking a detail-oriented <strong>Medical Payment Poster Specialist</strong> to join our healthcare finance team. This professional will be responsible for accurately posting payments, adjustments, and denials from insurance carriers and patients into the practice management system, while helping maintain the integrity of the revenue cycle.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Post insurance and patient payments accurately and in a timely manner.</li><li>Review explanation of benefits (EOBs), electronic remittance advice (ERAs), and related payment documentation.</li><li>Reconcile posted payments against daily deposits and billing records.</li><li>Identify and escalate payment discrepancies, underpayments, denials, and posting errors.</li><li>Apply contractual adjustments, refunds, and write-offs according to company policies.</li><li>Maintain accurate account documentation and support account resolution efforts.</li><li>Collaborate with billing, collections, and revenue cycle teams to resolve payment issues.</li><li>Ensure compliance with healthcare regulations, payer requirements, and internal procedures.</li></ul><p><br></p>
<p>We are seeking a detail-oriented <strong>Insurance Authorization Specialist </strong>to support the timely review, submission, and follow-up of prior authorizations and insurance verification activities. This role is responsible for working with patients, providers, and insurance carriers to secure authorizations for services, procedures, and treatments while ensuring accuracy, compliance, and excellent customer service.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Obtain and process prior authorizations for medical procedures, treatments, medications, and specialty services</li><li>Verify patient insurance eligibility, benefits, coverage limitations, and authorization requirements</li><li>Communicate with insurance companies, physician offices, clinical staff, and patients regarding authorization status</li><li>Submit accurate clinical documentation and required forms to payers within established timelines</li><li>Track pending authorizations and follow up to ensure timely approvals or denials</li><li>Review denied requests and assist with appeals or resubmissions as needed</li><li>Maintain detailed and accurate records in the electronic medical record and billing systems</li><li>Ensure compliance with payer guidelines, HIPAA, and internal policies</li><li>Identify authorization issues that may impact scheduling, billing, or reimbursement and escalate as appropriate</li><li>Provide updates to internal teams regarding authorization outcomes and next steps</li></ul><p><br></p>