Medical Billing Operations Denial Specialist

Location :  RemoteAbout YoulifyAt Youlify, were tackling one of the most costly and time-consuming challenges in healthcare : medical billing. Using cutting-edge AI agents and deep domain-specific training data, we help providers get paid faster and more accuratelyeliminating administrative waste and financial ambiguity. Our team combines top minds in AI, clinical medicine, and fintech.If youre passionate about healthcare operations and love solving complex billing puzzles, Youlify offers the opportunity to make an impact at scale.About the RoleYoulify is seeking a Denial Specialist to join our Billing Operations team. In this role, you will be responsible for reviewing, analyzing, and resolving insurance claim denials to ensure timely and accurate reimbursement. The ideal candidate has a strong understanding of the revenue cycle, payer-specific denial codes, and a proven ability to work efficiently in a fast-paced billing environment.Key ResponsibilitiesReview and process denied insurance claims, identifying root causes and determining appropriate corrective actions.Categorize and document denial reasons accurately using internal systems and payer correspondence.Prepare and submit appeals with appropriate supporting documentation in accordance with payer guidelines.Monitor and follow up on outstanding denials and appeal statuses to ensure timely resolution.Collaborate with internal billing and coding teams to prevent recurring denials and improve first-pass claim acceptance.Maintain detailed records of all actions taken on denied claims and ensure compliance with HIPAA and industry regulations.Stay current on payer policies, coding updates, and regulatory changes affecting reimbursement. QualificationsHigh school diploma or equivalent required; associates or bachelors degree in a related field preferred.Minimum of 2 years of experience in medical billing, with a strong focus on denial management.In-depth knowledge of insurance payer guidelines, CPT / ICD-10 coding, EOB, and the revenue cycle process.Strong analytical and problem-solving skills with attention to detail and accuracy.Proficiency in billing software and electronic health record (EHR) systems; experience with clearinghouses is a plus.Excellent written and verbal communication skills.Ability to manage multiple tasks and meet deadlines in a professional, team-oriented environment.Compensation & BenefitsCompetitive salary commensurate with experience.Comprehensive health benefits including medical, dental, and vision insurance.If you are an experienced denial specialist who takes pride in improving claim outcomes and contributing to the financial health of healthcare providers, we encourage you to apply.

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