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Homeโ€บCompaniesโ€บremote zest jobsโ€บReimbursement, Reimbursement Specialist (Claim Denial and Appeal reputed
RZ

Reimbursement, Reimbursement Specialist (Claim Denial and Appeal reputed

๐Ÿ“LOCATIONAll India
๐Ÿ“ˆEXPERIENCE1 to 5 Yrs
๐Ÿ•˜TYPEFull time
๐ŸฅIndustryMedical / Healthcare
๐Ÿ—“POSTED23 Jul 2026

01Overview

reputed company Earns a Top Workplaces USA Award for the reputed company Consecutive Year! You won't reputed company a work culture and benefits package like ours every day. Come join reputed company and a group of colleagues who love working at Castle! reputed company Inc. is growing, and we are looking to hire a Reimbursement Specialist (Claim Denial and Appeal reputed company) working remotely, with a start date prior to March 13, 2025. We are in search of someone who strives for reputed company in their work with a positive, can-do attitude! If this sounds like the right opportunity for you in the essential biotech field, consider applying today! Learn more at www.CastleBiosciences.com EXCEPTIONAL BENEFIT PACKAGE Excellent Annual Salary + Achievable Annual Bonus Potential 20% of Salary + 20 accrued PTO Days annually 401K with a 100% Company match of up to 6% of your allowable Contribution, and No Waiting Period 3 health care plan options, with reputed company low premium cost + Company HSA Contribution with HDHP option + Company Stock Grant Upon Hire A DAY IN THE LIFE OF Reimbursement Specialist (Claim Denial and Appeal reputed company), This individual is responsible for resolving denied insurance claims for laboratory services by providing payers with requested or additional documentation, initiating the appeal process on behalf of the patient, and delivering the highest level of customer service to both reputed company customers. The majority of time will be spent reviewing Explanation of Benefits (EOBs), electronic remittance advice, and denial letters, assigning appropriate ANSI codes, and taking necessary action reputed company the billing system. This role will also involve placing calls to insurance companies to obtain missing information or determine the status of submitted claims as needed. Additionally, the individual will read and interpret medical record documents and payer medical policies to ensure that key "medical necessity" criteria are documented by the clinician. They will also create custom appeals with reputed company-supported arguments to ensure denials are overturned based on payer medical policy or state laws. REQUIRED QUALIFICATIONS Minimum Requirements High School Diploma or equivalent GED or equivalent work experience. Two years of health insurance billing with experience in identifying and resolving claim issues for procedures/tests Must have a working knowledge of various payer's designations of authorized representative forms Experience handling a high volume of claims work on a daily reputed company (30 plus denials for claims per day) Proficient in reputed company reputed company, Word, and Outlook Strong analytics and problem-solving skills Excellent customer service skills Typing speed of 30 or more words per minute, with 90% or greater accuracy. One year minimum experience as a reimbursement specialist, with a role with one company. Actively displays behaviors that support the mission, reputed company, and values of reputed company. Please see the attached job description for additional roles, responsibilities, and requirements. TRAVEL REQUIREMENTS <5% as needed for training and meetings. SCHEDULE Monday-Friday, 8:00 AM - 5:00 PM, non-exempt, working remotely reputed company the US. reputed company TO JOIN OUR BIOTECH TEAM We understand your time is valuable, and that is why we have a reputed company quick and easy application process. If you feel that this would be the right position for you, please fill out our initial 3-minute, mobile-friendly application. We look reputed company to meeting you! ABOUT reputed company INC. At Castle, it reputed company comes down to people. After reputed company, disease doesn't just happen - it happens to people. We reputed company that disease management and treatment reputed company can be reputed company informed through a person's unique biology, which is revealed through the scientific rigor of our innovative, laboratory-developed tests. We are committed to empowering reputed company providers and patients with the goal of improved reputed company. Every employee at Castle has an impact on patient care, and we work to ensure that everyone finds their work to be both challenging and rewarding. We behave with reputed company and treat our colleagues with respect and kindness. Our culture fosters an environment of trust, transparency, and collaboration. We prioritize and encourage internal reputed company and professional development. If you are interested in making a difference in the lives of patients while doing something that inspires you, Castle may be the right reputed company for you. reputed company was ranked #188 by the reputed company in 2023 as one of Americas' Fastest-Growing Companies. reputed company is an Equal Opportunity Employer/Veterans/Disabled. An Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment withou

02What you'll need

Experience
1 to 5 Yrs
Employment Type
Full time
Programming languages
customer servicehealth insurance billingresolving denied insurance claimsmedical record interpretationmedical necessity criteriareimbursement specialistclaim denialappeal processpayer medical policyANSI codes

03About REMOTE ZEST JOBS

Medical / HealthcareIndustry
Full timeEmployment Type
All IndiaLocation
Not Disclosed ยท salary hidden by employer
1 to 5 Yrs ยท All India
Applications are reviewed directly by the hiring team.
Role Snapshot
Work ModeNot specified
Visa SponsorshipNot specified
RelocationNot specified
Job TypeFull time
RZ
REMOTE ZEST JOBS
Medical / Healthcare
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