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Wheeler Staffing Partners
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Job Title: Denials Specialist (Revenue Cycle) – Remote
Employment Type: Contract (Potential to Hire)
Location: Fully Remote (Work Hours: Monday–Friday, 8:00 AM – 4:30 PM CST; flexible by time zone)
Pay Rate: $20–$23/hour
About the Role
Wheeler Staffing Partners is seeking a Denials Specialist on behalf of a leading healthcare client. This remote contract position offers the opportunity to support critical functions in the revenue cycle, specifically in denial management and appeals processing. Ideal for individuals with healthcare revenue cycle experience, this role requires strong knowledge of insurance guidelines, EOBs, and hospital billing practices.
This is a contract role with potential for contract-to-hire based on performance and client needs.
Key Responsibilities
Required Skills and Knowledge
Rachel Wiseman
Denials Specialist - CHI ST LUKES
2025-05-20
2025-07-22
Employment Type:
Contract to Hire
Industry: Other Area(s)
Job Number: 8532
Pay Rate: 22.00
Job Description
Job Title: Denials Specialist (Revenue Cycle) – Remote
Employment Type: Contract (Potential to Hire)
Location: Fully Remote (Work Hours: Monday–Friday, 8:00 AM – 4:30 PM CST; flexible by time zone)
Pay Rate: $20–$23/hour
About the Role
Wheeler Staffing Partners is seeking a Denials Specialist on behalf of a leading healthcare client. This remote contract position offers the opportunity to support critical functions in the revenue cycle, specifically in denial management and appeals processing. Ideal for individuals with healthcare revenue cycle experience, this role requires strong knowledge of insurance guidelines, EOBs, and hospital billing practices.
This is a contract role with potential for contract-to-hire based on performance and client needs.
Key Responsibilities
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Validate denial reasons using Explanation of Benefits (EOB) reviews
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Ensure accurate denial coding in DCM systems
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Coordinate with Clinical Resource Center (CRC) for account referrals or clinical consultations
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Generate appeals based on payer-specific guidelines and contract terms (including online reconsiderations)
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Escalate unresolved denials or exhausted appeal efforts
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Work payer-related projects and respond to contract interpretation requests
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Compile supporting documentation for appeals and payer escalations
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Identify trends in denial or payment variances and report findings to leadership
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Research account corrections, update DCM appropriately, and route accounts as needed
Required Skills and Knowledge
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Intermediate understanding of:
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Explanation of Benefits (EOB) forms
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Managed Care Contracts and payer-specific language
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UB-04 hospital billing forms
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ICD-9, HCPCS/CPT coding and medical terminology
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Proficient in Microsoft Word and Excel
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Strong analytical and research skills
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Effective written communication and business letter writing
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Ability to manage tasks independently in a fast-paced, detail-oriented environment
Education and Experience-
High School Diploma or equivalent required
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Some college coursework in business, healthcare, or accounting preferred
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3–5 years of experience in a hospital business office, billing, or collections environment
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1–4 years of experience working with insurance denials and appeals (preferred)
Why Work with Wheeler Staffing Partners?
Wheeler Staffing Partners is committed to connecting experienced professionals with industry-leading healthcare organizations. As a Denials Specialist, you’ll play a vital role in helping ensure accurate claim reimbursement and compliance with payer guidelines. We value expertise, collaboration, and performance—and offer opportunities for growth.
Apply today to join a supportive, remote work environment and make an immediate impact in healthcare revenue cycle operations.
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Meet Your Recruiter
Rachel Wiseman
Recruiter
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