Denials Management Representative job at Reveloop

Position Summary

An entry-level role supporting U.S. healthcare clients by reviewing denied insurance claims, researching the reasons for nonpayment, helping prepare corrections or appeals, and supporting recovery of outstanding revenue. No prior insurance experience is necessary; training is provided.

Training & Performance Expectations

Reveloop will provide structured onboarding on U.S. healthcare revenue cycle processes, payer portals, claims and denial terminology, documentation standards, data privacy, and internal systems. Productivity targets apply after training and an appropriate ramp-up period.

Specific Skills

Minimum Requirements & Skills

• Completed university degree in any discipline; recent graduates are encouraged to apply.
• No prior work experience, healthcare billing experience, or insurance knowledge required; comprehensive job training will be provided.
• Excellent spoken and written English, with clear pronunciation, professional email writing, and strong listening skills.
• Strong computer skills: confident use of Microsoft Excel, Word, Outlook/email, web browsers, online systems, and accurate data entry.
• Ability to multitask across several systems, prioritize tasks, and meet daily deadlines.
• Strong attention to detail, numerical accuracy, analytical thinking, and problem-solving abilities.
• Professional communication skills, teamwork, reliability, coachability, and a willingness to learn.
• Ability and willingness to work on-site in Kampala during shifts aligned with U.S. Mountain Time

Responsible For

Key Responsibilities Denial Review & Research

• Review assigned denied claims and learn to identify common reasons for denial.
• Use payer portals, claim records, and internal resources to research what information is needed for resolution.
• Document denial reasons, research findings, actions, and next steps clearly.

Corrections, Appeals & Follow-Up

• Assist with routine claim corrections, reconsideration requests, and appeal preparation under supervision.
• Contact U.S. insurance companies to clarify denial decisions and track appeal status.
• Monitor assigned deadlines and promptly escalate complex cases to experienced team members.

Quality, Technology & Collaboration

• Work with claims, authorization, billing, and medical records teams to gather information.
• Use Excel, email, payer websites, and internal platforms to manage multiple cases accurately.
• Follow established privacy and documentation standards; identify repeated issues for supervisor review.

• Review assigned denied claims and learn to identify common reasons for denial.
• Use payer portals, claim records, and internal resources to research what information is needed for resolution.
• Document denial reasons, research findings, actions, and next steps clearly.
• Assist with routine claim corrections, reconsideration requests, and appeal preparation under supervision.
• Contact U.S. insurance companies to clarify denial decisions and track appeal status.
• Monitor assigned deadlines and promptly escalate complex cases to experienced team members.
• Work with claims, authorization, billing, and medical records teams to gather information.
• Use Excel, email, payer websites, and internal platforms to manage multiple cases accurately.
• Follow established privacy and documentation standards; identify repeated issues for supervisor review.

• Excellent spoken and written English
• Clear pronunciation
• Professional email writing
• Strong listening skills
• Strong computer skills
• Confident use of Microsoft Excel, Word, Outlook/email, web browsers, online systems
• Accurate data entry
• Ability to multitask across several systems
• Prioritize tasks
• Meet daily deadlines
• Strong attention to detail
• Numerical accuracy
• Analytical thinking
• Problem-solving abilities
• Professional communication skills
• Teamwork
• Reliability
• Coachability
• Willingness to learn

• Completed university degree in any discipline
• No prior work experience, healthcare billing experience, or insurance knowledge required