Medical Appeals & Denials Specialist
Medical Appeals & Denials Specialist
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Job Description
Overview
Denials & Appeals Specialist Join our FastPaced ProblemSolving Team!
We are seeking a Denials & Appeals Specialist to join our central billing office team located in Dallas.In this role youll play a key part in ensuring accurate claims processing tackling denials managing resubmissions and driving successful collections for home health services across multiple payer sources. Every day will bring new puzzles to solve and fresh opportunities to make an impact. Our hybrid environment allows for in office collaboration and learning while providing work life balance and flexibility!
Ideal Candidates will have:
- Strong attention to detail research and analytical skills.
- A collaborative mindset to work seamlessly with your team.
- Excellent communication skills and a willingness to accept feedback.
- A passion for problemsolving and navigating complex issues.
- Experience with medical billing denials appeals ERAs/EOBs
- Consistently meet and adhere to department and payer deadlines
Responsibilities
Key Responsibilities:
- Navigate systems to file timely reconsiderations and appeals.
- Communicate with payers to track and resolve balances correct and reprocess claims and appeal discrepancies.
- Investigate and resolve claim denials ensuring accurate corrections and timely resubmissions.
- Review and resolve unpaid balances on assigned accounts.
- Conduct eligibility checks across various insurance providers ensuring timely holds/discharges and notifying relevant parties.
- Collaborate across departments maintain compliance and deliver excellent customer service.
Qualifications
Qualifications:
- High school diploma or general education degree (GED).
- Two (2) years of medical billing experience preferred.
- Proficiency in Microsoft Excel and Medical Billing Systems.
KidsCare Home Health provdies a competitive benefits and compensation package that includes medical dental vision paid time off holidays 401k and tuition reimbursement! We are proud to be a multi year Top Workplace Award winner!
INDA
Required Experience:
Unclear Seniority
Employment Type
Full-Time
