Denial Management & Appeals Specialist

Midland Health; Midland (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Midland Memorial Hospital seeks a Denial Management Coordinator to manage the current appeals process. You will review denied claims, address contract variances, identify denial trends, and collaborate across departments to prevent future denials.

This role requires strong analytical and communication skills, with the ability to work independently. The position operates Monday through Friday, 8:00 AM to 5:00 PM, in Midland, Texas.

Qualifications

• High school diploma or equivalent required; associate degree preferred.
• Analytic skills and ability to make quick, effective decisions under pressure.
• Strong organizational and prioritization skills; excellent written and verbal communication.
• Must have proficient keyboard and 10-key skills; solid Word, Excel, and Access knowledge.

Responsibilities

• Executes denial appeals process: receive, assess, document, track, respond to, and resolve appeals with third-party payers.
• Tracks status and progress of denials and appeals.
• Conducts internal and external correspondence accurately and professionally.
• Maintains data on denied claim types and root causes; collaborates on improvements.
• Prepares and submits required reports; makes complex decisions independently.
• Resolves reimbursements and variance issues to fix payment discrepancies.
• Analyzes coding adjustments on EOB to verify payment accuracy and support.
• Collaborates with case management on denial trends and strategies.
• Works with contract variance team to verify denials against CMS/payor guidelines.
• Coordinates with hospital departments to develop denial prevention measures.

Skills

Analytic skills

Decision making

Organizational skills

Communication skills

10-key skills

Education

High school diploma or equivalency

Associate degree preferred

Tools

Word

Excel

Access

Job description

Midland Memorial Hospital seeks a Denial Management Coordinator to manage the current appeals process. You will review denied claims, address contract variances, identify denial trends, and collaborate across departments to prevent future denials.

This role requires strong analytical and communication skills, with the ability to work independently. The position operates Monday through Friday, 8:00 AM to 5:00 PM, in Midland, Texas.