Billing & Claims Denial Specialist

We are seeking a detail-oriented and proactive Billing & Claims Denial Specialist to join our healthcare billing team. This role is responsible for managing, reviewing, and resolving insurance claim denials to ensure accurate and timely reimbursement. The ideal candidate is detail-oriented, analytical, and experienced in medical billing practices and insurance guidelines.

Responsibilities include reviewing insurance denials and explanations of benefits (EOBs), correcting claim errors, submitting appeals, tracking appeals to resolution, analyzing denial trends, and working with billing staff and clinical teams to reduce denials. The specialist will also provide feedback and training on billing errors and payer guidelines, and pursue ongoing education on medical billing regulations and coding updates.

Qualifications:

• High school diploma or equivalent
• Minimum one year relevant experience in medical billing or claims denial management
• Understanding of insurance claims processing, ICD-10, CPT, HCPCS coding, and payer guidelines
• Analytical and organizational skills
• Proficiency with billing software and Microsoft Office
• Fluent English/Spanish desired

Work Location: In person. Salary range provided is $17 - $23 per hour.

Benefits include 401(k), dental, vision, health, life insurance, paid time off, tuition reimbursement, and flexible spending account.