Revenue Cycle Specialist – Denials & Appeals
Lucas James Talent Partners, Cleveland, Ohio, us, 44101
Revenue Cycle Specialist – Denials & Appeals
Remote or Hybrid | Beachwood, OH
$28–$35 per hour + Monthly Bonus Potential
Lucas James Talent Partners is partnering with
Phothera, a Madison Industries company , to identify a driven and proactive Revenue Cycle Specialist – Denials & Appeals to join their growing Revenue Cycle team.
Phothera provides innovative in-home phototherapy solutions that help patients safely manage autoimmune skin conditions such as Psoriasis, Atopic Dermatitis, Vitiligo, CTCL, MF, and chronic pruritus. As the organization scales rapidly, they are investing in strengthening their reimbursement strategy and building a focused appeals function to support a high-performing revenue cycle team.
This is an opportunity to join during a pivotal growth phase and play a meaningful role in improving reimbursement outcomes, accelerating cash recovery, and driving operational excellence.
The Opportunity This position is focused heavily on denial review and appeals resolution. As payer denials continue for certain UV therapy treatments, this role plays a key part in challenging those decisions and securing reimbursement.
You will not simply be processing claims. You will own denied accounts, develop appeal strategies, and help the team work smarter and more effectively.
What You’ll Do
Review and resolve denied or underpaid claims
Prepare and submit structured appeal documentation
Pull and analyze supporting medical records
Communicate with payer authorization and appeals committees
Track appeal outcomes and identify recurring denial trends
Research payer policies and medical necessity guidelines
Escalate systemic denial patterns and recommend process improvements
Maintain detailed, compliant documentation within the RCM system
What Success Looks Like Phothera is seeking someone who brings initiative and ownership. This is not a passive role. The ideal candidate:
Takes action without waiting to be directed
Identifies patterns and systemic issues
Brings urgency to appeals and follow-up
Thinks beyond task completion and looks for ways to strengthen reimbursement processes
Qualifications
2+ years of experience in Revenue Cycle, Denials, Appeals, or Medical Billing
Experience with payer appeals and denial management strongly preferred
Familiarity with interpreting medical records and clinical documentation
Comfortable communicating directly with insurance carriers and review committees
Strong written communication skills and attention to detail
Location & Schedule
Remote or hybrid flexibility available
Compensation & Growth
$28–$35 per hour
Strong growth trajectory – Phothera is projected to nearly double in size
Opportunity for expanded responsibility as the reimbursement strategy continues to scale
About Phothera Phothera is a rapidly growing healthcare organization focused on expanding access to safe, effective phototherapy treatments. As part of Madison Industries, Phothera combines the stability of a global organization with the agility of a scaling healthcare innovator. The company is investing in people, systems, and infrastructure to support continued expansion and operational excellence.
Why Join Now Phothera is actively working to improve payer acceptance of FDA-cleared UV therapy treatments that are not yet consistently covered. This is a unique opportunity to help shape how the appeals function operates moving forward while contributing to a mission-driven organization that directly impacts patient access to care.
If you are energized by improving reimbursement outcomes, strengthening revenue cycle performance, and contributing to a growing healthcare organization, we would love to connect.
Phothera is an Equal Opportunity Employer and values diversity in the workplace. All qualified applicants will receive consideration for employment without regard to any protected status.
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Remote or Hybrid | Beachwood, OH
$28–$35 per hour + Monthly Bonus Potential
Lucas James Talent Partners is partnering with
Phothera, a Madison Industries company , to identify a driven and proactive Revenue Cycle Specialist – Denials & Appeals to join their growing Revenue Cycle team.
Phothera provides innovative in-home phototherapy solutions that help patients safely manage autoimmune skin conditions such as Psoriasis, Atopic Dermatitis, Vitiligo, CTCL, MF, and chronic pruritus. As the organization scales rapidly, they are investing in strengthening their reimbursement strategy and building a focused appeals function to support a high-performing revenue cycle team.
This is an opportunity to join during a pivotal growth phase and play a meaningful role in improving reimbursement outcomes, accelerating cash recovery, and driving operational excellence.
The Opportunity This position is focused heavily on denial review and appeals resolution. As payer denials continue for certain UV therapy treatments, this role plays a key part in challenging those decisions and securing reimbursement.
You will not simply be processing claims. You will own denied accounts, develop appeal strategies, and help the team work smarter and more effectively.
What You’ll Do
Review and resolve denied or underpaid claims
Prepare and submit structured appeal documentation
Pull and analyze supporting medical records
Communicate with payer authorization and appeals committees
Track appeal outcomes and identify recurring denial trends
Research payer policies and medical necessity guidelines
Escalate systemic denial patterns and recommend process improvements
Maintain detailed, compliant documentation within the RCM system
What Success Looks Like Phothera is seeking someone who brings initiative and ownership. This is not a passive role. The ideal candidate:
Takes action without waiting to be directed
Identifies patterns and systemic issues
Brings urgency to appeals and follow-up
Thinks beyond task completion and looks for ways to strengthen reimbursement processes
Qualifications
2+ years of experience in Revenue Cycle, Denials, Appeals, or Medical Billing
Experience with payer appeals and denial management strongly preferred
Familiarity with interpreting medical records and clinical documentation
Comfortable communicating directly with insurance carriers and review committees
Strong written communication skills and attention to detail
Location & Schedule
Remote or hybrid flexibility available
Compensation & Growth
$28–$35 per hour
Strong growth trajectory – Phothera is projected to nearly double in size
Opportunity for expanded responsibility as the reimbursement strategy continues to scale
About Phothera Phothera is a rapidly growing healthcare organization focused on expanding access to safe, effective phototherapy treatments. As part of Madison Industries, Phothera combines the stability of a global organization with the agility of a scaling healthcare innovator. The company is investing in people, systems, and infrastructure to support continued expansion and operational excellence.
Why Join Now Phothera is actively working to improve payer acceptance of FDA-cleared UV therapy treatments that are not yet consistently covered. This is a unique opportunity to help shape how the appeals function operates moving forward while contributing to a mission-driven organization that directly impacts patient access to care.
If you are energized by improving reimbursement outcomes, strengthening revenue cycle performance, and contributing to a growing healthcare organization, we would love to connect.
Phothera is an Equal Opportunity Employer and values diversity in the workplace. All qualified applicants will receive consideration for employment without regard to any protected status.
#J-18808-Ljbffr