Remote Raven

Remote Raven is a staffing company that provides professional, educated, and trained remote workers to meet their hiring needs.

11-50 employees
Staffing Agency
Private Company

Open Positions63

Pakistan. Philippines. KenyaFull-TimeDermatologyPosted
  • Manage a high-volume denial workqueue across multiple payers, prioritizing by dollar amount, timely filing risk, and denial reason
  • Analyze denial patterns and root causes across all 9 locations to identify systemic billing, coding, or eligibility issues
  • Work medical, cosmetic, and surgical dermatology denials including prior authorization, medical necessity, coding, bundling, and eligibility-related rejections
  • Prepare, write, and submit clinical and administrative appeals to insurance payers at all levels
  • Gather and compile supporting documentation including medical records, clinical notes, prior authorization records, and payer-specific coverage policies
  • Work assigned high-dollar and complex accounts receivable accounts with a strategic, prioritized approach
  • Apply strong working knowledge of dermatology-specific CPT, ICD-10, and HCPCS codes
  • Stay current on payer policy changes, CMS updates, and coding guidance that affect dermatology claim adjudication
  • Track denial and appeal outcomes and contribute to monthly denial trend reporting for leadership
  • Communicate denial and appeal findings clearly to the RCM Manager and cross-functional team members
Showing 1 of 63 positions

About Remote Raven

Remote Raven is a staffing agency specializing in connecting businesses worldwide with highly skilled remote professionals, primarily based in the Philippines. We bridge the gap between companies seeking remote talent and qualified individuals, offering tailored solutions for diverse roles, from administrative support and accounting to specialized fields like digital marketing and graphic design. Our team of experienced recruiters ensures a seamless hiring process, focusing on identifying, interviewing, and selecting the best candidates to meet your specific needs. We leverage a robust tech stack to streamline our operations and enhance candidate experience. Our technologies include WordPress, Google Analytics, Google Tag Manager, and a Content Delivery Network, ensuring efficient communication and collaboration in our fully remote environment. Our commitment to providing exceptional service is evident in our strong client relationships and the high caliber of professionals we connect with businesses globally. Remote Raven operates with a focus on building strong relationships and facilitating a positive experience for both clients and our "Ravens." We prioritize clear communication, effective project management, and a supportive work environment. As a growing company, we are actively seeking talented individuals who thrive in a fast-paced, remote setting and contribute to our mission of connecting businesses with the best remote talent worldwide. Currently, we employ between 11 and 50 people and are actively expanding our operations to meet the increasing demand for remote professionals. Our success is rooted in our dedication to delivering exceptional service, utilizing cutting-edge technology, and fostering a thriving remote-first culture.

Tech Stack

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