Revenue Cycle Specialist, Denials and Appeals
Every denial reason needs a playbook: what to check, what to ask the practice, when to correct and when to appeal, and which payer rules apply. You'll write and test those playbooks with our engineers, work alongside our first customers' billing teams, and make sure the product does what an expert biller would.
What you'll do
- Write denial playbooks by reason and payer (CO-197, CO-50, CO-16, CO-29 and more)
- Review AI outputs and appeal drafts, and help define what 'good enough to automate' means
- Keep payer rules current: appeal levels, windows and channels
- Work with customers' billers during onboarding and the first weeks live
What you'll bring
- 4+ years in revenue cycle, with deep experience in denials and appeals
- DME or HME billing experience (Medicare DME MACs, CMNs, prior authorization)
- Hands-on use of Brightree or a similar billing system
- Precise writing: you can explain a payer's rule to an engineer
Nice to have
- CPC, CPB or CRCR certification
- Experience with commercial payer portals and appeal submission
About worklist
worklist runs healthcare operations as workflows, from intake to payment, and turns everything automation can't finish into structured work for a person. We're a small team building it carefully, starting with denial recovery for medical equipment suppliers.