Remote Claims & Denials Specialist
Scion Staffing has been engaged to conduct a search for Claims & Denials Specialist for a leading healthcare revenue recovery firm. This is a fully remote role based in the U.S. POSITION OVERVIEW: The Claims & Denials Specialist will execute high-impact denial recovery processes to help specialty healthcare providers recover lost revenue. This role requires following standardized playbooks with precision and speed, directly contributing to recovered dollars and cash acceleration for clients. The position emphasizes outcomes-driven execution rather than generic billing tasks. PERKS:
- Competitive pay rate: $28–$35/hr
- Fully remote work with flexible scheduling
- Opportunities for professional development and upskilling
- Inclusive and collaborative team environment
RESPONSIBILITIES:
- Work assigned denial queues, including post-pay denials, underpayments, medical necessity, bundling, timely filing, and WC claims
- Prepare and submit appeals according to payer-specific playbooks
- Track claim status through final resolution and maintain clean, auditable documentation
- Perform follow-ups with payers via phone, portals, and written correspondence
- Escalate complex or novel denial patterns to leadership as needed
- Incorporate feedback from QA and Strategist reviews to improve processes
QUALIFICATIONS:
- Experience in medical billing, accounts receivable, or denial recovery
- Familiarity with orthopedic practices and commercial payers (e.g., BCBS, Aetna, United, Cigna)
- Comfortable working with productivity and accuracy metrics in structured, KPI-driven environments
- Strong attention to detail and ability to follow standardized workflows
- Coachable, disciplined, and able to take ownership of results
COMPENSATION AND BENEFITS:
- $28–$35/hr
- Fully remote, contract-to-hire opportunity
- Flexible scheduling
- Potential for full-time benefits upon conversion
HOW TO APPLY: For immediate consideration, please submit your resume here! ABOUT OUR SEARCH FIRM: Scion Staffing is a national award-winning staffing firm! Since 2006, we have had the pleasure of successfully placing thousands of talented professionals with amazing career opportunities. Through our innovative team building and recruiting solutions, we bridge the gap in executive leadership searches, direct hire recruiting, interim leadership placement, and temporary professional staffing. We are proud to be part of the Forbes lists of the Best Recruitment Firms and the Best Executive Search Firms in America. Additionally, Scion has been recognized as a ClearlyRated Best of Staffing firm as well as a top recruitment firm by The Business Times. Additional information about our firm can also be found online. Scion Staffing, Inc. is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation or belief, or any other protected class. We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and the candidates we represent. For opportunities located in a region that have enacted fair chance, arrest or conviction-based employment ordinances, Scion Staffing proactively follows the enacted guidance and considers for employment all qualified applications with arrest and conviction records. We engage in socially conscious business practices and believe that diverse, equitable, inclusive, and non-biased talent and recruitment processes are foundational to the success of Scion as well as every client organization with whom we partner. Apply tot his job Apply To this Job