Denials & Appeals Admin Specialist

DHR Health; Edinburg, Northern (TX, KY); Hybrid; USD 32,000 - 45,000; Full time

Job summary

DHR Health is seeking an administrative professional to support the Denials Team in Edinburg, Texas. You will provide secretarial and clerical assistance, manage records, and ensure accurate, confidential handling of information within the Health Information Management area.

The role requires strong communication skills, organizational abilities, and proficiency with office software. Hospital experience is preferred and English fluency is essential.

Qualifications

• High School Diploma/GED preferred.
• Prefer hospital experience.
• Office experience is preferred.
• Organizational skills is necessary.
• Good written and verbal communication skills required.
• Ability to read, write and speak English.
• Ability to communicate clearly with nursing, administration, and physicians.
• Secretarial experience is preferred.

Responsibilities

• Promotes the facility mission, vision and values in daily work.
• Perform necessary functions on the facility computer system.
• Collaborate with Denials on report discrepancies.
• Establishes and maintains confidential record-keeping and filing.
• Maintain attention to detail and paperwork required to the role.
• Prints and faxes correspondence reports promptly.
• Screen telephone calls and route them appropriately.
• Inform management of urgent situations and status of appeals in Careport.
• Monitor and correct duplicate records in Careport.
• Notify supervisor of delays in tasks in Careport.
• Other duties as assigned.

Skills

Written and verbal communication

Organizational skills

English reading/writing/speaking

Office software proficiency

Secretarial experience

Education

High School Diploma/GED

Job description

DHR Health is seeking an administrative professional to support the Denials Team in Edinburg, Texas. You will provide secretarial and clerical assistance, manage records, and ensure accurate, confidential handling of information within the Health Information Management area.

The role requires strong communication skills, organizational abilities, and proficiency with office software. Hospital experience is preferred and English fluency is essential.