Claims Denials & Appeals Specialist

Baptist Health Arkansas; Little Rock (AR); Presencial; USD 52.000 - 66.000; Jornada completa

Descripción de la vacante

Baptist Health Arkansas is seeking a Denials Specialist to manage and resolve medical claim denials. The role involves initiating reconsiderations or appeals, documenting actions, and tracking denial status with payors.

Collaboration with PFS management focuses on root-cause analysis and denial prevention to improve payment outcomes. The position requires a high school diploma and 5 years in medical billing/insurance, with the ability to work in a fast-paced environment and multitask while

Formación

• High school diploma or equivalent required.
• 5 years of experience in medical billing/insurance.
• Ability to multitask in a fast-paced environment.
• Strong critical thinking and analytical skills.
• Excellent written and verbal communication.

Responsabilidades

• Manage and resolve claim denials, initiate reconsiderations or appeals.
• Document activities and track denial status with payors.
• Collaborate with PFS management to identify root causes and implement denial prevention.
• Maintain timely communication with stakeholders and ensure accurate documentation.

Conocimientos

Medical billing

Insurance

Root cause analysis

Documentation

Communication

Educación

High School Diploma

Descripción del empleo

Baptist Health Arkansas is seeking a Denials Specialist to manage and resolve medical claim denials. The role involves initiating reconsiderations or appeals, documenting actions, and tracking denial status with payors.

Collaboration with PFS management focuses on root-cause analysis and denial prevention to improve payment outcomes. The position requires a high school diploma and 5 years in medical billing/insurance, with the ability to work in a fast-paced environment and multitask while