AAPC
AAPC

60 Aapc Claims Processor Jobs Hiring Near You

... AAPC, USPSTF, and other regulatory bodies. * Utilize CPT, HCPCS, ICD-10, revenue, bill type, place of service, taxonomy, specialty, and related code sets to configure claims processing logic for ...

A minimum of 1 year processing claims as assigned to the primary Medicaid ERA funder * Certified Professional Coder * Active AAPC Certification Other: * Bilingual skills a plus. * Use of Microsoft ...

Medical Coding Specialist

Denver, CO · On-site

$70K - $85K/yr

... AAPC, USPSTF, and other regulatory bodies. * Utilize CPT, HCPCS, ICD-10, revenue, bill type, place of service, taxonomy, specialty, and related code sets to configure claims processing logic for ...

... AAPC, USPSTF, and other regulatory bodies. * Utilize CPT, HCPCS, ICD-10, revenue, bill type, place of service, taxonomy, specialty, and related code sets to configure claims processing logic for ...

A minimum of 1 year processing claims as assigned to the primary Medicaid ERA funder * Certified Professional Coder * Active AAPC Certification Other: * Bilingual skills a plus. * Use of Microsoft ...

Medical Coding Specialist

Denver, CO · On-site

$70K - $85K/yr

... AAPC, USPSTF, and other regulatory bodies. * Utilize CPT, HCPCS, ICD-10, revenue, bill type, place of service, taxonomy, specialty, and related code sets to configure claims processing logic for ...

... AAPC, USPSTF, and other regulatory bodies. * Utilize CPT, HCPCS, ICD-10, revenue, bill type, place of service, taxonomy, specialty, and related code sets to configure claims processing logic for ...

... AAPC, USPSTF, and other regulatory bodies. * Utilize CPT, HCPCS, ICD-10, revenue, bill type, place of service, taxonomy, specialty, and related code sets to configure claims processing logic for ...

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Healthcare Claims Denial/AR Management Specialist

Catapult Solutions Group

Addison, TX • On-site

$27/hr

Contractor

Re-posted 10 days ago


Job description

Healthcare Claims Denial Management Specialist
Contract to Hire
Onsite - Addison TX 75001
About the Company
Our client is a healthcare revenue cycle and medical billing organization dedicated to helping healthcare providers maximize reimbursement accuracy and efficiency. They partner with practices and providers to manage the full claims lifecycle - from submission through resolution - while maintaining strict compliance with payer and regulatory standards.
Job Description
We're seeking a detail-oriented Healthcare Claims Denial Management Specialist to identify, analyze, and resolve denied or underpaid medical insurance claims. This role is critical to ensuring accurate and timely reimbursement, working cross-functionally with payers, internal billing teams, and healthcare providers to reduce denial rates and improve revenue cycle performance.
What You'll Be Responsible For
  • Reviewing and analyzing denied, underpaid, and rejected medical claims to determine root causes
  • Correcting claim errors, updating coding or documentation as needed, and resubmitting claims to payers within required timeframes
  • Following up with insurance companies to resolve outstanding denials and secure payment
  • Communicating directly with insurance representatives to verify claim status and resolve discrepancies
  • Maintaining detailed documentation of actions, correspondence, and outcomes in billing/practice management systems
  • Identifying denial patterns and trends across payers, coding categories, or service lines
  • Collaborating with coding, billing, and clinical teams to prevent future denials through process improvements and training
  • Preparing and submitting formal appeals with supporting medical records, coding references, and payer policy documentation
  • Tracking appeal outcomes and ensuring compliance with appeal deadlines and payer regulations
  • Ensuring claim corrections and submissions comply with federal, state, and payer-specific regulations
  • Generating denial reports, analyzing metrics, and providing insights to leadership
  • Monitoring KPIs such as denial rate, appeal success rate, and days in accounts receivable (A/R)

Required Experience/Skills
  • 2-4 years of experience in medical billing, claims processing, or denial management within a healthcare or payer environment
  • Strong knowledge of revenue cycle processes
  • Proficiency with CPT/HCPCS and ICD-10 coding
  • Familiarity with insurance payer rules (commercial, Medicare, Medicaid)
  • Solid understanding of medical terminology
  • Proficiency with EMR/EHR systems, clearinghouses, and billing software
  • Strong analytical skills with attention to detail and the ability to identify trends and interpret payer policies
  • Excellent verbal and written communication skills
  • Strong organizational skills with the ability to manage multiple priorities and deadlines

Nice-to-Haves
  • CPC, CPB, or other AAPC/AHIMA certification
  • Experience in high-volume claims environments
  • Familiarity with appeals and audit processes

Education
  • High school diploma or equivalent required; Associate's or Bachelor's degree in healthcare administration, business, or related field preferred

Pay Summary
  • $27/hr. W2

Apply Now!
Denial Management Specialist, Medical Billing, Claims Processing, Revenue Cycle Management, CPT, HCPCS, ICD-10, Medical Coding, Insurance Appeals, EMR, EHR, Accounts Receivable, Healthcare Billing, Payer Relations, Medicare, Medicaid, AAPC, AHIMA, CPC, CPB