Backend Claims Management Specialist

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Backend Claims Management Specialist based in the United States.

This is a remote opportunity focused on improving healthcare revenue cycle performance through expert claims management and data-driven operational insights.
You will investigate complex claims and denials, identify payment barriers, and uncover the root causes behind reimbursement challenges.
The role combines hands-on claims expertise with analytical problem-solving, process improvement, and cross-functional collaboration.
You will partner with Service Managers, BPO teams, Revenue Cycle, Operations, and Client Services to improve financial and operational outcomes.
Your recommendations will help reduce denials and aged receivables, increase clean claim rates, and strengthen overall client performance.
You will also share knowledge, develop standardized processes, and support teams in applying effective claims and denial-prevention practices.
This role is well suited to a healthcare revenue cycle professional who combines strong payer knowledge with analytical thinking and a proactive approach to continuous improvement.