Impekkable, an award-winning healthcare consulting and hospital management firm is looking for a Remote Denials Specialist with experience in Meditech Expanse to work with a hospital based in Georgia.

• Full-time, direct hire
• 100% Remote
• Hospital is in EST time zone
• Great team and organization!

JOB DETAILS

The Remote Denials Specialist plays a critical role in supporting the hospital’s financial health by identifying, analyzing, and resolving payer denials. This position requires strong working knowledge of MEDITECH Expanse, excellent analytical skills, and the ability to collaborate across departments to prevent future denials and improve clean claim rates. The ideal candidate is detail–oriented, proactive, and comfortable navigating complex payer requirements in a hospital setting.

KEY RESPONSIBILITIES

Denial Management & Resolution:

• Review, research, and resolve insurance denials, underpayments, and appeals using MEDITECH Expanse work queues and reporting tools.
• Analyze denial trends and root causes to reduce recurring issues.
• Prepare and submit timely, accurate appeals with appropriate clinical and financial documentation.
• Work closely with payers to clarify denial reasons and negotiate reconsiderations when appropriate.

Revenue Cycle Support:

• Collaborate with Patient Access, Coding, Billing, and Utilization Review teams to prevent avoidable denials.
• Monitor claim status and follow up on outstanding accounts to ensure timely reimbursement.
• Maintain accurate account notes, documentation, and audit trails within MEDITECH Expanse.

Data & Reporting:

• Generate and interpret denial reports to identify patterns and opportunities for process improvement.
• Provide feedback to leadership on denial trends, payer behavior, and operational gaps.
• Participate in performance improvement initiatives aimed at increasing first–pass resolution rates.

REQUIREMENTS

Required:

• 2+ years of experience in hospital revenue cycle, denials management, or insurance follow–up.
• Hands–on experience with MEDITECH Expanse (billing, claims, or denials modules).
• •Strong understanding of payer policies, EOBs/ERAs, and appeal processes.
• Ability to interpret medical terminology, coding concepts (ICD–10, CPT), and authorization requirements.
• Excellent communication, organization, and problem–solving skills.

Preferred:

• Experience working in a hospital or critical access hospital environment.
• Knowledge of Medicare, Medicaid, and commercial payer rules specific to Wisconsin.
• Familiarity with root–cause analysis and denial prevention strategies.
• Certification such as CRCR, CRCS, or CPAR is a plus.

Please send your resume or questions in confidence to:

Amy Lowe – Senior Recruiting Director

Amy.Lowe@impekkable.net

Mobile – (972) 921.1864 (call or text)