Elevate Patient Financial Solutions® · 1 day ago
Appeals & Denials Claims Specialist
United States
Full-time
Remote
Entry Level
$17/hr - $24/hr
1+ years expElevate Patient Financial Solutions has an excellent career opportunity available as an Appeals and Denials Claims Specialist to work in a remote-based role. The primary responsibility of this position is to review, submit, and follow up on claims or medical bills for the Billing and Appeals Department, ensuring timely submissions and appropriate appeals for denied services.
Business IntelligenceHealth CareInformation Technology
Responsibilities
Review and research insurance claims to determine possible payment source(s)
Contact various sources including insurance professionals, patients, and other parties to verify relevant data
Coordinate with payors to ensure appropriate filing guidelines are met for reimbursement
Request appropriate information, both verbally and written, from appropriate parties to ensure proper claim disposition
Maintain and update payors on denied claims
Ensure that appropriate billing guidelines and standards are met based on payor and/or State
Perform aggressive follow up on unresolved claims and facilitate payment from appropriate payors
Responsible for obtaining claim status and gathering supporting documentation to submit appeals
Assist with written or verbal appeals to payors on denied claims
Assist in defending the hospital’s or medical provider’s rights to recovery against insurance companies
Interact with hospital staff members to obtain appropriate documentation for claims and appeals submission
Qualification
Required
High School Diploma or GED, some college coursework preferred
1-2 years of related experience in the healthcare field or in a related area is preferred
Ability to communicate effectively verbally and in writing and be able to speak professionally with patients and insurance companies
Ability to proactively resolve issues
Creative problem-solving skills
Ability to organize and set priorities according to situation all demands
Required computer skills: must have experience with data entry and word processing, be capable of operating routine office equipment, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications
Remote and Hybrid positions require a home internet connection that meets the company's upload and download speed criteria
Benefits
Medical, Dental & Vision Insurance
401K (100% match for the first 3% & 50% match for the next 2%)
15 days of PTO
7 paid Holidays
2 Floating holidays
1 Elevate Day (floating holiday)
Pet Insurance
Employee referral bonus program
Teamwork: We believe in teamwork and having fun together
Career Growth: Gain great experience to promote to higher roles
Company
Elevate Patient Financial Solutions®
Elevate Patient Financial Solutions® is a trusted partner who delivers superior RCM solutions to hospitals, health systems, and health providers nationwide.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2025-08-04Private Equity
Leadership Team
Michael Shea
Chairman & Chief Executive Officer
Recent News
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