Claims Resolution Analyst: Workers' Comp & MVA Denials

Prime Healthcare; Fort Worth, Arlington, Dallas (TX, TX, TX); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

401(k)

Job summary

A leading healthcare provider is seeking a Workers Comp/MVA Claims Resolution Analyst to effectively analyze and resolve hospital claim denials related to workplace injuries and motor vehicle accidents. This full-time role requires expertise in payer guidelines and medical billing, alongside strong communication skills. The ideal candidate will ensure compliance with regulations and improve claims processing within the team in Fort Worth, TX.

Qualifications

• 2–4 years of experience in hospital revenue cycle, claims management, or denial resolution.
• Strong knowledge of Workers' Compensation and MVA claim billing and denial processes.

Responsibilities

• Review and analyze denied hospital claims for Workers' Compensation and MVA cases.
• Prepare and submit appeals and supporting documentation.
• Collaborate with billing, coding, and clinical teams for accurate claim submissions.
• Research state and federal regulations for compliance and appeals.

Skills

Workers' Compensation knowledge

MVA claims expertise

Medical billing

Appeals processes

Analysis skills

Communication skills

Education

Associate's or Bachelor's degree in Healthcare Administration or Business

Job description

A leading healthcare provider is seeking a Workers Comp/MVA Claims Resolution Analyst to effectively analyze and resolve hospital claim denials related to workplace injuries and motor vehicle accidents. This full-time role requires expertise in payer guidelines and medical billing, alongside strong communication skills. The ideal candidate will ensure compliance with regulations and improve claims processing within the team in Fort Worth, TX.