Medical Denials Specialist

Robert Half • Carmel, IN • 1h ago

Description

We are seeking a detail-oriented Medical Denials Specialist to join our healthcare revenue cycle team. This role is responsible for reviewing, researching, and resolving denied or underpaid medical claims to support timely reimbursement and reduce revenue loss. The ideal candidate has strong knowledge of payer guidelines, appeals processes, and healthcare billing workflows.

Hours: Monday - Friday 8am - 5pm

Key Responsibilities:

Review denied, rejected, or underpaid insurance claims and identify root causes

Investigate payer denials related to coding, authorizations, eligibility, timely filing, medical necessity, and billing errors

Prepare and submit appeals with appropriate supporting documentation

Communicate with insurance carriers, patients, providers, and internal departments to resolve claim issues

Monitor and track denial trends and escalate recurring issues for process improvement

Maintain accurate and detailed account documentation in billing and practice management systems

Follow up on outstanding appeals and denied claims to ensure timely resolution

Partner with billing, coding, and patient access teams to reduce future denials

Ensure compliance with payer requirements, HIPAA, and internal policies

Requirements

High school diploma or equivalent required; associate or bachelor's degree preferred

2+ years of experience in medical billing, claims follow-up, accounts receivable, or denial management preferred

Working knowledge of ICD-10, CPT, HCPCS, EOBs, and payer reimbursement guidelines

Familiarity with Medicare, Medicaid, and commercial insurance processes

Strong analytical, organizational, and problem-solving skills

Proficiency with electronic health records, billing software, and Microsoft Office

Excellent written and verbal communication skills

TalentMatch®

Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) .

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