Denials Patient Account Representative Location:

Torrance, CA Duration:

6-

Month Contract, Possible Extensions, Possible Conversion Pay Rate:

$23-$27/hour Position Overview We are seeking an experienced Denials Patient Account Representative to join a healthcare revenue cycle team in Torrance, CA. This individual will be responsible for managing denied claims, preparing and submitting appeals, and working closely with third-party payers to maximize reimbursement and reduce claim denials. The ideal candidate has strong appeals-writing experience, a deep understanding of hospital/facility claims, and expertise in denial management within a healthcare setting. Key Responsibilities Review, analyze, and resolve denied healthcare claims. Research denial root causes and develop effective appeal strategies. Write and submit appeal letters from scratch with minimal oversight. Manage the full appeals process to maximize reimbursement and minimize revenue loss. Maintain relationships with third-party payers and respond to inquiries, complaints, and correspondence. Ensure compliance with applicable state and federal regulations related to contracts and appeals. Assist with reporting, trend analysis, and denial management initiatives. Support revenue cycle operations by identifying opportunities to improve claim outcomes and reduce future denials. Collaborate with internal teams to resolve billing and reimbursement issues. Required Qualifications High School Diploma or GED. Minimum of 2 years of experience in denial management. Strong experience writing appeals from scratch. Experience working with facility/hospital claims and major payers. Commercial insurance experience, including third-party payer interactions. Expertise in claim exclusions and denial resolution. Strong understanding of healthcare reimbursement and appeals processes. Excellent written communication and analytical skills. Preferred Qualifications Associate's or Bachelor's degree. Experience working within Cerner. Additional experience with healthcare revenue cycle operations. Ideal Candidate The ideal candidate is a detail-oriented healthcare revenue cycle professional with a proven track record of successfully overturning denied claims. They possess strong written communication skills, understand payer guidelines and reimbursement processes, and can independently manage complex appeals while maintaining productive payer relationships.

Pay:

$23.00 - $27.00 per hour Expected hours: 40.0 per week

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Vision insurance

Work Location:

In person