About this role
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.