Senior Technical Denials Specialist

Smarter Technologies

Remote, United States
$135,000—$180,000 usd; not specified; comprehensiv...
Fully remote
Technical/non-clinical denials management
Smarterdenials admin sku design
Ai automation and prevention logic
Smarter Technologies is seeking a Senior Technical Denials Specialist to enhance their AI-driven healthcare technology solutions by managing non-clinical denials. The ideal candidate will have extensive experience in healthcare revenue cycle management, particularly in technical denials, and will work closely with product and engineering teams to develop and validate processes that reduce denial rates

Job Summary

  • You will own the design and validation of the SmarterDenials Admin SKU and Platform triage logic.
  • This is a high-impact individual-contributor / small-team-lead role that directly shapes how AI automates and prevents the most common denials.
  • Competitive base salary, direct impact on a product family attacking a $250B+ industry problem, fully remote role within the United States, and comprehensive health benefits.

Matching Summary

Match Score: 85

Smarter Technologies is seeking a Senior Technical Denials Specialist to enhance their AI-driven healthcare technology solutions by managing non-clinical denials. The ideal candidate will have extensive experience in healthcare revenue cycle management, particularly in technical denials, and will work closely with product and engineering teams to develop and validate processes that reduce denial rates.

Salary

$135,000—$180,000 USD; Not specified; Comprehensive health benefits

Skills & Requirements

Must-have

  • technical/non-clinical denials management
  • SmarterDenials Admin SKU design
  • AI automation and prevention logic
  • EDI 837/835 transactions
  • payer portals and clearinghouses

Nice-to-have

  • AI/ML applications in RCM
  • Lean/Six Sigma certification
  • customer implementations and ROI

Key Requirements

  • 7–15+ years in healthcare Revenue Cycle Management
  • 4–7+ years focused on technical/non-clinical denials
  • Experience in health-system/hospital and ambulatory/physician-practice settings
  • Proven success reducing technical denial rates by 20–40%+
  • Expert working knowledge of clearinghouses, EDI transactions, claim scrubbers
  • HFMA CRCR required

Work Rights

Not specified

Tailored Resume

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