Patient Denials Rep (hospital setting) POST NUMBER: 480141

A well-known healthcare facility is looking for several Patient Denial Reps to assist with
a long-term temporary project. This role can be onsite or remote in PST time zone for
the right candidate.
Qualified Candidates MUST HAVE:

• Work and appeal commercial insurance denials in a high-volume environment
• Execute the full appeals lifecycle: receive, assess, document, track, respond, and resolve with third-party payers on time
• Identify patterns and root causes in denial trends, and document outcomes to share with management
• Utilize contract management systems (Oracle Splash / Epic) to identify underpaid accounts
• Collaborate with internal departments and external organizations to resolve disputes
• Maintain advanced knowledge of payer-specific billing requirements, appeal timelines, and denial codes
• Prepare and submit reports as required; contribute to process improvement initiatives
• Transition toward denial prevention strategy as the department evolves

What we're looking for
Minimum 5 years of patient accounting experience, specifically in denials management
Strong working knowledge of commercial payer contracts, appeal timelines, and denial codes
Proven track record writing successful insurance appeals
Hospital-specific background strongly preferred (clinic/physician group alone is not sufficient)
Oracle Splash preferred; Epic or equivalent acceptable
Knowledgeable of state and federal laws related to payer contracts and the appeals process
Ability to prioritize workload, meet deadlines, and resolve issues independently
Education
Bachelor's degree in business, healthcare, or a related field preferred — or an Associate's degree with at least 3 years of patient financial services experience. A degree is not required; 5 years of patient accounting experience in lieu of a degree is fully acceptable. Please note — this role may not be a fit if you
Have fewer than 5 years of patient accounting experience
Lack denials-specific experience
Come exclusively from a physician group or clinic setting with no hospital billing background

Looking to hire ASAP! If this sounds like you, send you resume ASAP!
NO relocation offered
$25-27/hr
Long term temp assignment

Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company’s 401(k) retirement plan. Additional disclaimer: Unless otherwise noted in the job description, the position Vaco/Highspring is filing for is occupied. Please note, however, that Vaco/Highspring is regularly asked to provide talent to other organizations. By submitting to this position, you are agreeing to be included in our talent pool for future hiring for similarly qualified positions. Submissions to this position are subject to the use of AI to perform preliminary candidate screenings, focused on ensuring minimum job requirements noted in the position are satisfied. Further assessment of candidates beyond this initial phase within Vaco/Highspring will be otherwise assessed by recruiters and hiring managers. Vaco/Highspring does not have knowledge of the tools used by its clients in making final hiring decisions and cannot opine on their use of AI products.