Job Description
Description
We are working with a Houston-based healthcare services organization seeking an experienced RCM Reimbursement Specialist – Appeals & Denials to join their revenue cycle team on a contract‑to‑hire basis. This role plays a critical part in maximizing reimbursement by resolving complex appeals and denied claims across commercial and government payers.
This is a fast‑paced, detail‑driven role ideal for someone who thrives in follow‑up‑heavy work and enjoys problem‑solving denial trends.
Key Responsibilities
+ Resolve aged claims and appeals lacking payer response via payer portals and outbound calls
+ Identify claims requiring first, second, or third‑level appeals and manage accordingly
+ Prioritize assigned work queues to focus on timely resolution and high‑value recoveries
+ Collaborate with teammates on denial workflows, projects, and queue management
+ Identify non‑payment and denial trends; escalate groups ...
We are working with a Houston-based healthcare services organization seeking an experienced RCM Reimbursement Specialist – Appeals & Denials to join their revenue cycle team on a contract‑to‑hire basis. This role plays a critical part in maximizing reimbursement by resolving complex appeals and denied claims across commercial and government payers.
This is a fast‑paced, detail‑driven role ideal for someone who thrives in follow‑up‑heavy work and enjoys problem‑solving denial trends.
Key Responsibilities
+ Resolve aged claims and appeals lacking payer response via payer portals and outbound calls
+ Identify claims requiring first, second, or third‑level appeals and manage accordingly
+ Prioritize assigned work queues to focus on timely resolution and high‑value recoveries
+ Collaborate with teammates on denial workflows, projects, and queue management
+ Identify non‑payment and denial trends; escalate groups ...