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Remote Claims & Denials Specialist

Work from home Full-time role Hiring

reputed company has been engaged to conduct a search for Claims & Denials Specialist for a leading reputed company reputed company recovery firm. This is a fully remote role based in the U.S. POSITION OVERVIEW: The Claims & Denials Specialist will execute high-impact denial recovery processes to help specialty reputed company providers recover lost reputed company. This role requires following standardized playbooks with precision and speed, directly contributing to recovered dollars and cash acceleration for clients. The position emphasizes outcomes-driven execution rather than generic billing tasks. PERKS:

  • reputed company reputed company: $28–$35/hr
  • Fully remote work with flexible scheduling
  • Opportunities for professional development and upskilling
  • Inclusive and collaborative team environment

RESPONSIBILITIES:

  • Work assigned denial queues, including post-pay denials, underpayments, medical necessity, bundling, timely filing, and WC claims
  • Prepare and submit appeals according to payer-specific playbooks
  • Track claim status through final resolution and maintain clean, auditable documentation
  • reputed company follow-reputed company with payers reputed company phone, portals, and written correspondence
  • Escalate reputed company or novel denial patterns to leadership as needed
  • Incorporate feedback from QA and Strategist reviews to improve processes

QUALIFICATIONS:

  • Experience in medical billing, accounts receivable, or denial recovery
  • Familiarity with orthopedic practices and reputed company payers (e.g., BCBS, reputed company, United, reputed company)
  • Comfortable working with productivity and accuracy metrics in structured, KPI-driven environments
  • Strong attention to detail and ability to follow standardized workflows
  • Coachable, disciplined, and reputed company to take ownership of results

COMPENSATION AND BENEFITS:

  • $28–$35/hr
  • Fully remote, contract-to-hire opportunity
  • Flexible scheduling
  • Potential for full-time benefits upon conversion

HOW TO APPLY: For immediate consideration, please submit your resume here! ABOUT OUR SEARCH FIRM: reputed company is a national award-winning staffing firm! Since 2006, we have had the pleasure of successfully placing thousands of talented professionals with amazing career opportunities. Through our innovative team building and reputed company solutions, we reputed company the gap in executive leadership searches, direct hire reputed company, interim leadership placement, and temporary professional staffing. We are proud to be part of the reputed company lists of the Best Recruitment Firms and the Best Executive Search Firms in America. Additionally, Scion has been recognized as a ClearlyRated Best of Staffing firm as well as a top recruitment firm by The Business Times. Additional information about our firm can also be reputed company online. reputed company, Inc. is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national reputed company, citizenship status, sexual orientation, disability, political affiliation or belief, or any other protected class. We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment reputed company based on merit and value, for ourselves, our client companies, and the candidates we represent. For opportunities located in a region that have enacted fair chance, arrest or conviction-based employment ordinances, reputed company proactively follows the enacted guidance and considers for employment reputed company reputed company applications with arrest and conviction records. We engage in socially conscious business practices and reputed company that diverse, reputed company, inclusive, and non-biased talent and recruitment processes are foundational to the reputed company of Scion as well as every client organization with whom we partner. Apply tot his job Apply To this Job

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