Denial Clerk, Full Time

Hialeah Hospital; Florida; On-site; USD 38,000 - 52,000; Full time

Job summary

Hialeah Hospital is seeking a denial clerk to support the denial management process. The role involves handling denied insurance claims, ensuring precise documentation, and coordinating across departments to resolve payment issues.

Responsibilities include gathering claim information, updating patient accounts, retrieving records via EHR, reviewing billing outputs, and following up on appeals. Strong communication and organizational skills are essential for success.

Qualifications

• High school diploma or equivalent.
• Proficiency in Microsoft Office (Word, Excel, Outlook)
• Organizational and time management skills.
• Strong written and verbal communication skills.
• Detail oriented, courteous, and results-driven.

Responsibilities

• Gather and record information from denied insurance claims.
• Keep track of all new denials and update patient account system with correspondence and additional pertaining documentation.
• Use the EHR system to retrieve medical records, itemized bills and payer correspondence.
• Use the billing platform to view and print UBs, check claim status, such as rejections.
• Knowledgeable in different payer portals to view and retrieve payments and denials.
• Send documentation, appeals, and medical records.
• Follow up with insurance on appeals and/or reconsiderations.
• Other duties as assigned.

Skills

Microsoft Office

Organizational & time mgmt

Written & verbal communication

Detail oriented

Education

High school diploma or equivalent

Tools

EHR system

Billing platform

Payer portals

Job description

POSITION SUMARY

The denial clerk supports the denial management process, focusing on handling denied insurance claims, ensuring accurate documentation, and coordinating with multiple areas to resolve payment issues.

KEY RESPONSIBILITIES

• Gather and record information from denied insurance claims.
• Keep track of all new denials and updates patient account system with correspondence and additional pertaining documentation.
• Use the EHR system to retrieve medical records, itemized bills and payer correspondence.
• Use the billing platform to view and print UBs, check claim status, such as rejections.
• Knowledgeable in different payer portals to view and retrieve payments and denials.
• Send documentation, appeals, and medical records.
• Follow up with insurance on appeals and/or reconsiderations.
• Other duties as assigned.

EDUCATION, QUALIFICATIONS AND EXPERIENCE

• High school diploma or equivalent.
• Proficiency in Microsoft Office (Word, Excel, Outlook)
• Organizational and time management skills.
• Strong written and verbal communication skills.
• Detail oriented, courteous, and results-driven.