About us: At TLNT, we believe that recruitment is more than just filling roles — it’s about connecting humans with humans. We’re a people-first organization partnering with top U.S. companies to help them grow by attracting exceptional talent, and we know that the right content can open the right doors.
This is an excellent opportunity to grow your career with a leading US-based company — fully remote, on a small team where you work directly with the CEO and your work is visible from day one.
About our partner: Join a specialized U.S. healthcare revenue cycle company focused exclusively on complex, high-value surgical care. Rather than processing claims in volume, the team engineers reimbursement outcomes case-by-case, managing each claim's full lifecycle from pre-service positioning through appeals and resolution, so surgical providers get paid what their work is actually worth.
About the role: This role owns the payment side of the revenue cycle for complex surgical cases, start to finish. That means resolving claim rejections,
processing same-day remittances, running denial and underpayment appeals end to end, and keeping a deadline calendar with zero exceptions.
When a payment doesn't match what the claim actually supports, the Specialist digs in: verifies the shortfall, documents it, and either builds the appeal or hands the Chief Executive a sharp, decision-ready summary. At its core, this is investigative work — reading what the payer really did, figuring out why it's wrong, and making the case that fixes it.
We're looking for someone who already speaks the language of US medical billing fluently: reading an EOB or X12 835 without help, decoding CARC and RARC codes on sight, and chasing open balances because it's second nature, not a task list item.
What You'll Do
- Review claim acknowledgment and rejection reports (277CA) each morning; identify root causes and prepare corrected or replacement claims (837)
📌 Medical Billing Specialist, Denials (Nuevo León)
🏢 TLNT Group
📍 Nuevo León
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