Denials & Appeals Specialist

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

Job summary

Midland Memorial Hospital is seeking a Denial Management Coordinator to oversee the current appeals process and resolve contract variances on patient encounters. You will review denied claims, track denials, and collaborate with departments to develop prevention measures.

The role requires strong analytic, organizational, and communication skills, with experience in medical billing and knowledge of CMS/payor contracts. Monday–Friday, 8:00 AM–5:00 PM in Midland, TX.

Qualifications

• 5+ years medical billing office experience
• Strong analytic and problem-solving abilities
• Excellent organizational and prioritization skills
• Strong oral and written communication skills
• Proficient keyboard and 10-key data entry; Word, Excel, Access knowledge

Responsibilities

• Executes the denial appeals process, including receiving, assessing, documenting, tracking, responding to, and resolving appeals with third-party payers.
• Tracks the status and progress of denials and appeals
• Conducts internal and external correspondence accurately and professionally while following regulations
• Maintains data on types of claims denied and root causes; collaborates to propose improvements
• Prepares and submits reports as required
• Makes independent, complex decisions within the role's scope
• Identifies and resolves reimbursements and variance issues to resolve payment discrepancies
• Analyzes coding adjustments on EOB for accuracy and support
• Works with case management on denial trends and strategies to appeal
• Collaborates with contract variance team to verify denials against CMS/payor guidelines
• Develops denial prevention measures with hospital departments

Skills

Analytic skills

Organizational skills

Oral and written communication

10-key skills

Education

High school diploma or equivalency

Associate degree preferred

Tools

Word

Excel

Access

Job description

Midland Memorial Hospital is seeking a Denial Management Coordinator to oversee the current appeals process and resolve contract variances on patient encounters. You will review denied claims, track denials, and collaborate with departments to develop prevention measures.

The role requires strong analytic, organizational, and communication skills, with experience in medical billing and knowledge of CMS/payor contracts. Monday–Friday, 8:00 AM–5:00 PM in Midland, TX.