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RCM Specialist III

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HEALTH CHOICE NETWORK
📍 US On-site Denial Management Posted 2026-08-07

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Job Description

Are you an experienced medical billing professional who thrives on solving complex claim issues and driving revenue cycle performance? We're looking for a Billing & Collections Specialist to join our team and play a key role in ensuring timely and accurate reimbursement while supporting exceptional service for our health centers and patients. If you're detail-oriented, customer-focused, and experienced in medical billing, insurance follow-up, denial management, and account resolution, we'd love…
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A Day in the Life: Denial Management
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7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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