Medical Billing Denials & Appeals Specialist

Job Title: Medical Billing Denials & Appeals Specialist
Schedule: Full-Time | Monday to Friday | 9:00 AM – 5:00 PM

Job Title: Medical Billing Denials & Appeals Specialist (Remote)

Job Overview
We are seeking a detail-oriented and experienced Medical Billing Denials & Appeals Specialist to join our team. This role focuses on reviewing denied claims, communicating with insurance companies, and ensuring accurate and timely follow-ups to maximize reimbursements. The ideal candidate is highly organized, a fast learner, and confident in navigating medical billing systems while maintaining professional communication with both insurers and internal stakeholders.

This is a remote position, and candidates from any country are welcome to apply, provided they meet the required qualifications.

Key Responsibilities

• Review and analyze denied or rejected medical claims to determine the root cause.
• Contact insurance companies via phone to follow up on denied claims and obtain claim status updates.
• Prepare and submit appeals with accurate documentation and supporting information.
• Coordinate with clients or internal teams to gather required patient or claim details.
• Update billing systems and maintain clear documentation of all follow-up actions.
• Ensure compliance with insurance guidelines and medical billing regulations.
• Work efficiently to reduce claim aging and improve reimbursement turnaround time.

Requirements

• Strong experience in medical billing denials and appeals.
• Proven ability to communicate clearly and professionally in fluent English (verbal and written).
• Comfortable making frequent outbound calls to insurance providers.
• Fast learner with the ability to quickly understand workflows and navigate billing systems.
• Detail-oriented, analytical, and highly organized.
• Trustworthy, reliable, and able to work independently in a remote environment.
• Experience using medical billing or practice management systems is highly preferred.

• Work Setup
• Remote position
• Open to candidates worldwide (including but not limited to the Dominican Republic, Philippines, Pakistan, North America, and South America).
• Must have a stable internet connection and a quiet work environment for phone communication.