Position Overview
Job Description
Job Summary
Insight Global is seeking a fully remote Denials Specialist for our client specializing in orthopedic denials recovery. The RCM Denials Specialist is responsible for recovering revenue lost to denied and underpaid orthopedic medical claims by executing payer-specific denial recovery workflows with a high level of accuracy and efficiency. This role focuses on post-payment denials and unpaid claims, managing appeals from initial denial through final resolution. The specialist works within standardized playbooks and performance metrics to directly impact client cash flow and recovered revenue.
This is a production-driven, outcomes-focused role suited for professionals who thrive in structured, KPI-driven environments and take ownership of financial results.
Key Responsibilities:
Denial Recovery & Appeals
- Work assigned denial and underpayment claim queues, including post-pay denials, medical necessity, bundling, timely filing, and worke...