Tempositions, Inc.
Medical Claims Denial Specialists
3 days ago
Lake Success
About the Organization We are a fast-growing medical billing organization in the Lake Success area, dedicated to delivering exceptional results for our provider partners. We’re seeking revenue cycle professionals at all levels — whether your expertise is in insurance follow-up, denials recovery, or the broader revenue cycle — who thrive on solving problems and getting claims paid. The Opportunity Join our collaborative team handling surgical and out-of-network claims, appeals, denials, and overall reimbursement recovery. This role is for professionals who don’t just post charges, but who investigate, analyze, and strategize to ensure maximum payment. Key Responsibilities • Analyze EOBs for out-of-network and surgical claims to identify underpayments or denials, • Research payer portals and policies to support appeals, • Use past payment history, CPT code research, and carrier guidelines to build cases for reimbursement, • Initiate insurance calls as needed to confirm claim status or policy details, • Track and follow up on appeals to successful resolution, • At least 3 years of out of network experience within revenue cycle performing insurance follow-up calls investigating medical claims, • Submitting appeals, • Researching denied claims, • Experience processing surgical claims preferred, • Background processing commercial insurance, • Strong portal and system navigation skills, with the ability to quickly adapt to new technology, • Analytical mindset — able to think through a claim from start to finish and decide the next step, • Monday to Friday, 37.5-hour work week, • Choice of shifts: 8:30 a.m. – 5:00 p.m. or 9:00 a.m. – 5:30 p.m.