Billing Denials Resolution Specialist

Hooks Meng & Clement; Las Vegas (NV); On-site; USD 40,500 - 49,500; Full time

Job summary

Hooks Meng & Clement (HMC) in Las Vegas is seeking an Appeals Specialist to optimize insurance reimbursement by managing claim denials and preparing appeal submissions. The candidate must possess strong analytical skills and written communication abilities.

The role requires reviewing denied claims, preparing appeals, and maintaining accurate billing documentation. Ideal candidates have a year of relevant experience and reside in the Southern Nevada area as the position is on-site.

Qualifications

• 1+ year experience in law office billing, claims, or appeals.
• Strong written communication skills.
• Ability to manage deadlines and work independently.
• Knowledge of denial codes & payer guidelines (preferred).
• Auditing skills (strongly preferred).
• Must reside in the Southern Nevada area.

Responsibilities

• Review denied claims or underpaid claims.
• Prepare and submit appeals with supporting documentation.
• Research payer policies and denial reasons.
• Track appeal statuses and follow up with payers.
• Communicate with the Billing Manager to gather needed information.
• Maintain accurate documentation in billing systems.
• Audit clients to ensure appeals are handled promptly.

Skills

Analytical skills

Written communication

Problem-solving

Job description

Hooks Meng & Clement (HMC) in Las Vegas is seeking an Appeals Specialist to optimize insurance reimbursement by managing claim denials and preparing appeal submissions. The candidate must possess strong analytical skills and written communication abilities.

The role requires reviewing denied claims, preparing appeals, and maintaining accurate billing documentation. Ideal candidates have a year of relevant experience and reside in the Southern Nevada area as the position is on-site.