Description

We are actively seeking experienced HIM Associates with a strong background in working denied claims and commercial payer follow-up. This fully remote, contract-based opportunity is critical to helping our client reduce their backlog and meet compliance and revenue cycle goals. This role supports the accurate and timely resolution of denied claims, ensuring regulatory standards are upheld and that claims are processed, appealed, and reimbursed appropriately.

Key Responsibilities:

• Review and process denied claims, with a focus on commercial payers.
• Identify root causes of denials and take appropriate follow-up actions (appeals, corrections, resubmissions).
• Ensure compliance with payer guidelines, regulatory standards, and internal procedures.
• Accurately document actions and maintain detailed records of claim status and resolution steps.
• Collaborate with billing, coding, and HIM teams to expedite resolution and reimbursement.

Requirements

Qualifications:

• Experience in healthcare claims denial management, particularly with commercial payers, is required.
• HS Diploma or GED
• Understanding of healthcare billing, reimbursement policies, and denial reasons.
• Familiarity with electronic health records (EHR) and claims systems.
• Knowledge of HIPAA regulations and HIM/ROI best practices.
• Strong organizational skills, attention to detail, and ability to work independently in a remote setting.

TalentMatch^®

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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