Location: Bethesda, MD
Work Arrangement: Onsite
About United Theranostics
United Theranostics is a growing healthcare organization focused on molecular imaging and radiopharmaceutical therapy. Our network of nuclear medicine facilities provides personalized cancer care by bringing advanced diagnostics and targeted treatments closer to the patients who need them.
We are building a collaborative team focused on delivering exceptional patient care while creating a strong, accountable, and high-performing organization.
This is an onsite position working directly with our team in Bethesda, MD.
What You’ll Do
As a Revenue Cycle Denial Specialist, you will play an important role in maximizing reimbursement by researching, resolving, and appealing denied insurance claims. You will work closely with our revenue cycle team, billing partners, and insurance payers to resolve outstanding claims and identify opportunities to prevent future denials.
- Review and analyze denied insurance claims and determine the appropriate resolution.
- Research payer policies, medical necessity requirements, authorizations, coding, and claim guidelines.
- Prepare and submit timely, well-supported appeals for recoverable denials.
- Manage assigned denial inventory, prioritizing aged, high-dollar, and time-sensitive claims.
- Follow up with insurance payers on claims, appeals, and outstanding balances.
- Identify denial trends and root causes and recommend ways to prevent recurring denials.
- Collaborate with billing, coding, authorization, clinical, and third-party revenue cycle teams to resolve complex claims.
- Maintain accurate documentation of denial activity, appeals, payer communications, and outcomes.
- Assist with denial reporting, tracking, and revenue cycle improvement initiatives.
- Meet established productivity, quality, and turnaround-time expectations.
What Will Make You Great in This Role
- 3+ years of experience in healthcare revenue cycle, medical billing, insurance claims, or denial management.
- Experience researching and resolving insurance denials and preparing written appeals.
- Strong understanding of medical billing, claims processing, and payer requirements.
- Experience with Medicare, Medicaid, and commercial insurance payers preferred.
- Experience with medical necessity, prior authorization, coding, documentation, eligibility, and timely filing denials preferred.
- Experience in oncology, nuclear medicine, radiology, or another specialty healthcare setting is a plus.
- Strong analytical and problem-solving skills with exceptional attention to detail.
- Excellent written and verbal communication skills.
- Ability to manage multiple priorities, meet deadlines, and follow issues through to resolution.
- Ability to work independently while collaborating effectively with a team.
- Familiarity with billing or claims management systems and Microsoft Office.
Why Join United Theranostics?
This is an opportunity to join a growing organization that is helping expand access to advanced cancer care. You will have the opportunity to make a direct impact on revenue cycle performance while working alongside a team that is committed to patient care, collaboration, and continuous improvement.
If you are an experienced revenue cycle professional who enjoys solving complex problems, navigating payer requirements, and turning denials into successful reimbursement, we would like to hear from you.
Job Type: Full-time
Pay: $27.00 - $30.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Application Question(s):
- Do you have experience working in healthcare revenue cycle, medical billing, insurance claims, or denial management?
- What are your hourly rate expectations?
Work Location: In person
