Denial Specialist

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 3,500 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado.   We are seeking a highly motivated Medical Billing Denial Specialist to join our Accounts Receivable Resolution team.   This job can be performed 100% remotely and out of state candidates will be considered.   The Medical Billing Denial Specialist is primarily responsible for resolving all insurance claim denials for assigned specialty departments to enhance revenues for CU Medicine providers. The individual in this position will generate effective written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims.  Appeal carrier denials through coding review, contract review, medical record review and carrier interaction.  Utilize a multitude of resources to ensure correct appeal processes are followed and completed in a timely manner.  Demonstrate a high level of expertise in the management of complicated denied claims and deploy an analytical approach to resolving denials while recognizing trends and patterns in order to proactively resolve recurring issues.  Communicate identified denial patterns to management.  Prioritize and process a large volume of denials while maintaining high quality of work.  Serve as an escalation point for unresolved denial issues.  Inform team members of payer policy changes.  Assist in training new employees as assigned.  Collaborate on special projects as needed.   Requires 3-5 years experience in medical practice billing with exposure to working with denials, appeals, insurance collections and related follow-up; bachelor’s degree in a related field is strongly preferred.  Must have ICD-10 and CPT coding assessment skills, CPC certification is preferred.  Intermediate PC software experience required.  Advanced verbal and written communication skills are essential.  Must demonstrate a solid understanding and ability to apply contract language in conjunction with a comprehensive understanding of claims denial appeal logic.    All applications MUST be submitted via our website.   CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment. Additionally, drug and health screenings may be required for some positions.  We are an equal opportunity employer.   The listed pay range (or hiring rate) represents CU Medicine’s good faith and reasonable estimate of the range of possible compensation at the time of posting and is based on evaluation of competitive market data.   A variety of factors, including but not limited to, internal equity, experience, and education will be considered when determining the final offer.   CU Medicine provides generous leave, health plans and retirement contributions which take your total compensation beyond the number on your paycheck.  Find information about our benefits here   CU Medicine supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on CU Medicine property, Anschutz Medical Campus and adjacent business locations.