Denials Specialist

Post Date

Feb 27, 2024

Location

Cincinnati,
Ohio

ZIP/Postal Code

45212
US
Sep 14, 2025 Insight Global

Job Type

Perm

Category

Claims/Denials

Req #

IMW-685897

Pay Rate

$17 - $26 (hourly estimate)

Job Description

An employer in the Cincinnati, OH area is seeking a Denials Specialist for direct hire opportunity. This person will be working for a Medical Billing team that reports up through the Revenue Cycle organization of a large health system. This person will primarily be tasked with working through technical denials from payers. If an insurance company denies a claim sent to them, it will be the goal of this candidate to figure out why that claim was denied. The majority of denials they will be working through will be from Anthem or Medicare, and they can expect to work through around 45 or so accounts per day. The ideal candidate will preferably have experience with hospital billing. This role will sit in Norwood, and be fully onsite M-F 8am-5pm for the first 6 months. After 6 months, employees may be eligible for a hybrid remote schedule depending on performance metrics.

Required Skills & Experience

3-5 years experience working with denials in a hospital / medical billing setting

Experience working with Anthem and Medicare claims

Familiarity with Hospital Billing

Experience with Epic or similar EMR system

Nice to Have Skills & Experience

Bachelor's degree

Medical billing / coding certification

Extensive experience with hospital or professional billing

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.