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Wheeler Staffing Partners
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Job Title: Denials Specialist
Location: Fully Remote
Employment Type: Contract-to-Hire
Pay Rate: $20–$23/hour
Schedule: Monday – Friday, 8:00 AM – 4:30 PM CST
Openings: 1
Wheeler Staffing Partners is seeking a Denials Specialist to join our client’s team in a fully remote, contract-to-hire role. This position plays a critical role in reviewing and managing medical record requests for post-payment audits, validating denial reasons, and driving appeal strategies to ensure accurate reimbursement.
The ideal candidate will have a strong background in hospital billing, coding, and denial management, with a solid understanding of healthcare audit processes and payer requirements.
Responsibilities:
Requirements:
Intermediate proficiency in Microsoft Office, particularly Word and Excel
Strong written communication and business letter writing skills
This is a great opportunity to join a dynamic team focused on revenue integrity and audit compliance. If you have a passion for healthcare finance and are ready to bring your expertise to a growing organization, apply today with Wheeler Staffing Partners!
Denials Specialist - 238-810912 AR FOLLOW-UP ONSHORE
2025-07-07
2025-09-26
Employment Type:
Contract to Hire
Industry: Other Area(s)
Job Number: 8631
Pay Rate: 22.00
Job Description
Job Title: Denials Specialist
Location: Fully Remote
Employment Type: Contract-to-Hire
Pay Rate: $20–$23/hour
Schedule: Monday – Friday, 8:00 AM – 4:30 PM CST
Openings: 1
Wheeler Staffing Partners is seeking a Denials Specialist to join our client’s team in a fully remote, contract-to-hire role. This position plays a critical role in reviewing and managing medical record requests for post-payment audits, validating denial reasons, and driving appeal strategies to ensure accurate reimbursement.
The ideal candidate will have a strong background in hospital billing, coding, and denial management, with a solid understanding of healthcare audit processes and payer requirements.
Responsibilities:
-
Review incoming medical record requests to determine eligibility for post-payment audit review
-
Validate denial reasons after reviewing the Explanation of Benefits (EOB)
-
Ensure accurate denial coding in internal systems
-
Generate appeals for denied or underpaid claims based on payer contract terms and specific dispute reasons
-
Follow up on appeals and coordinate online reconsideration submissions per payer guidelines
-
Collaborate with internal departments and Clinical Resource Center (CRC) for clinical consultation and account referrals
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Research contract terms and compile necessary documentation to support appeals
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Route accounts appropriately and code system updates based on audit findings
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Escalate unresolved payment variances or payer-related issues to leadership
-
Support special payer-related projects as needed
Requirements:
-
High School Diploma or equivalent required; some college coursework preferred
-
3–5 years of experience in a hospital billing or revenue cycle environment
-
Intermediate knowledge of:
-
Explanation of Benefits (EOB)
-
UB-04 hospital billing forms
-
Managed care contracts, contract language, and state/federal requirements
-
ICD-9, HCPCS/CPT coding, and medical terminology
Intermediate proficiency in Microsoft Office, particularly Word and Excel
Strong written communication and business letter writing skills
This is a great opportunity to join a dynamic team focused on revenue integrity and audit compliance. If you have a passion for healthcare finance and are ready to bring your expertise to a growing organization, apply today with Wheeler Staffing Partners!
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