Denials Specialist

Welcome! We’re excited you’re exploring opportunities with us. Below you’ll find details about the role, the impact you can make, and what we’re looking for in an ideal candidate. We’re passionate about building a team that shares our values and brings diverse perspectives to help us grow and succeed together.

Join Our Team at Ternium RCM – A Leading Advocate in Healthcare Revenue Cycle Solutions!

Are you ready to make a real impact on the healthcare industry? Ternium RCM is seeking a Denials Specialist to help us empower hospitals and health systems across the country. If you're passionate about optimizing processes and improving healthcare outcomes, this is your chance to be part of a growing, innovative team.

Who We Are:
At Ternium, we specialize in resolving complex healthcare insurance claim denials and delays. Our mission is to empower hospitals and health systems by optimizing their revenue cycle, allowing them to focus on what matters most—patient care. With a dedicated team of professionals, we consistently deliver outstanding results, increasing net patient revenue, improving cash flow, and reducing operational costs while enhancing the patient experience.

What You'll Do:
As a Revenue Cycle Associate – Denials Specialist, you will play a vital role in ensuring smooth communication between clients, internal teams, and insurance carriers. Your focus will be on supporting financial health through effective denial resolution and process improvement.

Key Responsibilities:

• Respond to client or team information requests in a timely and professional manner.
• Communicate with insurance carriers to resolve claim issues that hinder cash flow.
• Identify training needs based on internal QA findings, reviews, and client feedback.
• Contribute to the development and refinement of training materials
• Maintain proactive and clear communication with clients regarding updates and resolutions.

What You Bring to the Table:

• Foundational knowledge of revenue cycle processes.
• Experience in healthcare, insurance claims, billing, or denial management.
• Prior experience in a hospital CBO setting is strongly preferred.
• Familiarity with the EPIC patient accounting system is a plus.
• Excellent organizational skills and strong time management abilities.

Why Join Us?

• Flexible Work Style: Work from anywhere within the United States while making a tangible difference.
• Competitive Salary: $40,000 - $50,000
• Robust Benefits Package: 401(k) with corporate match, comprehensive health, dental, and vision insurance.
• Work-Life Balance: Flexible schedule and paid time off.
• Career Growth: Access to professional development, mentorship, and upward mobility within a thriving company.
• Additional Perks: Life insurance and performance-based bonuses.

Ready to Make a Difference?
If you're passionate about healthcare and eager to contribute to a purpose-driven company, we want to hear from you. Apply today and take the first step in joining the Ternium team, where your efforts will make a real difference in healthcare!

A Culture of Inclusion & OpportunityTernium is an equal opportunity employer that values diversity and inclusion. We do not discriminate based on age, race, disability, religion, gender, sexual orientation, gender identity, genetic information, marital status, veteran status, or any other protected characteristic. We are also committed to maintaining a supportive and harassment-free work environment.

Thank you for considering a career with us! We encourage you to apply even if you don’t meet every requirement — we value passion, potential, and a willingness to learn. We look forward to reviewing your application and hopefully welcoming you to our team.

Originally posted on Himalayas