Senior Insurance Appeals & Denial Management Specialist

Remote
Full Time
Experienced
Job Title
Senior Insurance Appeals & Denial Management Specialist – Hospital Claims (Back-End Only)
Job Summary

We are seeking a highly experienced Back-End Insurance Appeals & Denial Management Specialist to manage hospital claim denials exclusively. This role focuses solely on post-adjudication appeals, underpayment recovery, and payer dispute resolution across multiple third-party payors.
Front-end AR, claim submission, and patient balance work are not part of this role.

Key Responsibilities
  • Manage hospital denials and underpayments from post-adjudication through final resolution
  • Prepare and submit first-level, second-level, and external appeals
  • Analyze EOBs/RAs, payer policies, and contract language
  • Resolve denials related to medical necessity, authorization, coding, DRG validation, timely filing, and reimbursement discrepancies
  • Work across commercial and managed care payors
  • Escalate complex issues through payer dispute and reconsideration channels
  • Document all actions and outcomes in hospital billing systems
  • Identify denial trends and provide backend-focused process improvement recommendations
Required Qualifications
  • 5+ years hospital revenue cycle experience with a backend denials focus
  • Proven expertise in appeals and denial management only
  • Experience resolving high-dollar and complex hospital claims
  • Strong understanding of payer contracts and reimbursement methodologies
  • Ability to work independently in a high-volume backend environment
Preferred
  • Experience with Epic, Cerner, Meditech, or similar hospital systems
  • Revenue cycle, billing, or coding certification (CRCR, CPC, CCS, CPB)
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