- Senior
- Office in Dallas
Are you interested in harnessing technology and AI to transform healthcare?
At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.
We’re on a mission to simplify the business side of healthcare—and we know that mission takes people from all backgrounds and experiences. Whether you’re early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference.
About the Role
As a Sr. DenialServices Specialist at XiFin you will be responsible for managing specific denial codes for all clients enrolled in denial services and tasked with conducting advanced payer research and providing feedback on specific denial trends to prevent future denials. The position requires collaboration with our Product and Client management teams to identify ways to increase payments on first submission to payers.
In this role,you'll provide detailed reports to account executives and upper management,making recommendations for edit and process improvements to reducedenials. This is an exciting opportunity to join a team that values continuous learning, mentorship, and operational excellence.
This position will be located at our office either in Dallas, TX or Charleston, SC.
How you will make an impact:
In this role, you’ll:
- Review 835 remittance data as needed to evaluate insurance denials
- Utilize appropriate steps to correct claim submission errors and/or file appropriate appeals as necessary to overturn denials and receive payment
- Advanced Customer service skills; coordinating with Product and Client management teams to respond to customer inquiries
- Monitor medical policies for updates and changes in coverage criteria to support denial services and recommend system changes which align with insurance standards
- Review and prepare documentation, as needed, for reopening and appeal requests
What you will bring to the team:
We’re looking for someone with a growth mindset and a passionfor learning. You might be a great fit if you:
- Possess advanced customer service, communication, and interpersonal skills
- Are highly organized
- Have experience working in a team environment
- Communicate clearly and confidently, both in writing and in conversation
Skills and experience you have:
You don’t need to check every box. We will consider a combination of education and experience, including:
- Associate’s degree (preferred) in relevant fields: Health Information Management (HIM), Medical Billing and Coding, or Healthcare Administration. A Bachelor's Degree in a related field a plus.
- Certification (a plus):
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) may be beneficial, especially in medical settings.
- Certified Billing and Coding Specialist (CBCS) is another certification that can be useful.
- Certified Healthcare Documentation Specialist (CHDS) can also be a helpful credential for those working in healthcare-related denials management.
- Familiarity with Health Insurance and Billing Systems:
- more advanced or supervisory responsibilities, such as managing a team, resolving high-level denials, analyzing trends in claim denials, and possibly training or mentoring junior staff. At this stage, deep knowledge of insurance protocols, coding, appeals processes, and healthcare management systems is expected.
- 5+ years minimum experience handling more complex denials and be familiar with various types of insurance plans and the appeals process. Ability to work independently and be proactive in resolving denials. Prior experience in medical billing and coding, claims processing, or denials management is required.
- Advanced knowledge of Medicare, Medicaid and Commercial insurance coverage criteria and policies
- Experience filing reopening and appeal requests to payers
Why XiFin?
We’re more than just a healthcare technology company—we’re a team that cares about people.
Here’s a glimpse at what we offer:
- Comprehensive health benefits including medical, dental, vision, and telehealth
- 401(k) with company match and personalized financial coaching to support your financial future
- Health Savings Account (HSA) with company contributions
- Wellness incentives that reward your preventative healthcare activities
- Tuition assistance to support your education and growth
- Flexible time off and company-paid holidays
- Social and fun events to build community at our locations!
Pay Transparency
At XiFin, we believe in pay transparency and fairness. The expected hourly range for this role is $17.00 to 22.00, based on your experience, skills, and geographic location.
Depending on your qualifications, you may be considered for either an Associate Specialist, Specialist, or Senior Specialist title. Final compensation will be determined during the selection process and may vary accordingly.
Accessibility & Accommodations
We’re committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at 858-436-2901.
Equal Opportunity Employer
XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law.
Ready to apply?
We’d love to hear from you—even if you’re not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.
