Claims & Appeals Analyst - Payor Disputes & Denials

Healthcare Support Staffing; Phoenix (AZ); Presencial; USD 45 000 - 65 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Competitive salary

Medical, Dental, and Vision benefits

Positive work environment

Resumo da oferta

A healthcare services provider is seeking a candidate for a role focused on validating disputes on financial claims. Responsibilities include accurate coding, generating appeals, and escalating denial trends. The ideal candidate has at least two years of experience in healthcare billing and collections, strong knowledge of payer processes, and excellent business writing skills. Benefits include competitive salary and a supportive work environment, with working hours from 8:00 AM to 5:00 PM, Monday to Friday.

Qualificações

• 2 years minimum in a Hospital or RCM environment performing billing / collections / disputes & claims research.
• Intermediate understanding of Explanation of Benefits form (EOB).
• Understanding of UB-04 / 1500 forms.

Responsabilidades

• Validate denial reasons and ensure coding is accurate.
• Generate appeals based on dispute reasons and contract terms.
• Escalate exhausted appeal efforts for resolution.

Conhecimentos

Payer Knowledge

AR follow up Experience

Medical terminology

Advanced business letter writing skills

Descrição da oferta de emprego

A healthcare services provider is seeking a candidate for a role focused on validating disputes on financial claims. Responsibilities include accurate coding, generating appeals, and escalating denial trends. The ideal candidate has at least two years of experience in healthcare billing and collections, strong knowledge of payer processes, and excellent business writing skills. Benefits include competitive salary and a supportive work environment, with working hours from 8:00 AM to 5:00 PM, Monday to Friday.