Frontier Tech And Denial Jobs

🚧 What You’ll Do Own rejections, denials, and denied claims workflows from identification through resolution

Lead initiatives to improve claim accuracy, reduce denials, accelerate cash collections, and improve reimbursement rates.

Align care with payer expectations and evidence-based standards Ensure clinical delivery meets payer requirements and reduces audit risk, denials

workflows, with a strong understanding of how revenue cycle challenges manifest across both — from patient statements and payment plans to claim submission, denials

amp; EOP Logic: Own the logic that generates member EOBs and provider EOPs, ensuring they accurately reflect adjudication outcomes, member cost share, and denial

Deep, current command of the revenue cycle end to end: patient access, coding, charge capture, CDI, billing, claims adjudication, denials, and payer

Your work directly protects cash flow and prevents denials as MyOme expands its payer network.

Proof of network participation on file, because a note in someone's inbox cannot be used with a payer to push back on a denial.

This role focuses on resolving coding issues, identifying EHR and demographic inaccuracies, and preventing downstream denials and rework.

💻 Your responsibilities will include: Being the warm, persistent point of contact a member can hand a confusing bill, denial, or complex