Claim Resolution Specialist

Company Description

Gentell is a leading global provider of innovative, efficient, and affordable wound care solutions tailored to meet the individualized needs of patients in nursing homes, hospices, and hospitals. With clinical specialists across the United States and Canada, we offer expert recommendations and education to support proper use of wound care products. As one of North America's largest manufacturers of wound care supplies, Gentell operates production facilities in the United States, Canada, and China. Our comprehensive product line includes advanced and traditional wound care dressings and skin protection products, ensuring optimal patient care and outcomes.

Job Summary :

We are seeking a Denials & Collections Specialist to join our Revenue Cycle Management (RCM) team. In this role, you will be responsible for managing insurance denials, following up on outstanding accounts receivable, and ensuring timely resolution of unpaid claims.

What You’ll Do

• Review and resolve claim denials by analysing EOBs / ERAs.
• Prepare and submit appeals to payers within deadlines.
• Follow up with insurance companies and patients on unpaid balances.
• Document all actions taken in the billing / RCM system.
• Collaborate with billing, coding, and posting teams to reduce recurring denials.

What We’re Looking For