Medical Denials Specialist

Description We are seeking a detail-oriented Medical Denials Specialist to join our healthcare revenue cycle team. In this role, you will be responsible for reviewing, analyzing and resolving denied medical claims to support timely reimbursement and reduce revenue loss. The ideal candidate will have experience working with insurance carriers, payer guidelines, appeals processes and healthcare billing systems.

Hours:

Monday - Friday 8am -5pm Key Responsibilities + Review and investigate denied or underpaid medical claims + Identify denial trends and root causes to support process improvement + Prepare and submit claim corrections, reconsiderations and appeals + Follow up with insurance companies regarding claim status and payment resolution + Verify coding, billing and documentation accuracy to ensure compliance with payer requirements + Collaborate with billing, coding, collections and clinical teams to resolve claim issues + Maintain accurate records of denial activity, appeal outcomes and account updates + Monitor payer policy changes and reimbursement guidelines + Meet productivity and quality goals related to denial resolution and accounts receivable follow-up Requirements + High school diploma or equivalent required; associate or bachelor's degree preferred + 2+ years of experience in medical billing, claims denial management or revenue cycle operations + Strong knowledge of EOBs, ERAs, CPT, ICD-10 and HCPCS codes + Experience with appeals, claim edits and insurance follow-up + Familiarity with Medicare, Medicaid and commercial payer regulations + Proficiency with electronic medical records and billing systems + Strong analytical, organizational and problem-solving skills + Excellent written and verbal communication skills + Ability to manage multiple priorities in a fast-paced environment TalentMatch® Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) .