Revenue Cycle Denial Specialist (FT- 1.0 FTE, Day Shift, Remote)

Job description

This position can be remote. Please review the approved remote states below . Remote Work Approved States: Arizona Florida Georgia Idaho Iowa South Dakota Texas South Carolina Wisconsin North Carolina Michigan: *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. Position Summary: The Revenue Cycle Denial Specialist reviews, analyzes, and resolves post-billed denials and rejections for hospital and professional claims to support accurate reimbursement and denial prevention. This role applies expertise in payer requirements, government regulations, and appeal processes to determine root cause, validate denial rationale, and drive corrective actions. The specialist prepares and manages appeals within required timelines, collaborates across departments to reduce avoidable denials, and provides reporting and education to support system-wide revenue cycle performance. Provides reporting, analysis, and coordination support for the Denial Steering Committee and Task Force to drive denial reduction strategies and operational improvements. Minimum Qualifications: Required - Associate's degree or Certification in Hea...