Denials & Appeals Specialist, Patient Accounts

Torrance-Memorial-Medical-Center; Torrance (CA); On-site; USD 35,000 - 53,000; Full time

Job summary

Jobvite, Inc. is seeking a Denials Patient Account Rep in Torrance, CA to review denied claims and manage the appeals process. You will help maintain third-party relationships and respond to inquiries while applying knowledge of contract and appeals laws.

The role supports the Denials Management Senior Analyst, contributing to Revenue Cycle efficiency, generating reports, and driving process improvements to reduce denials and optimize case flow.

Qualifications

• Experience in healthcare billing and denials management.
• Knowledge of state/federal contract and appeals requirements.
• Ability to respond to inquiries and maintain third-party relationships.

Responsibilities

• Review denied claims and carry out the appeals process.
• Maintain third-party relationships and respond to inquiries.
• Assist with reporting and Revenue Cycle process improvements.
• Identify root causes of denials and document findings.
• Collaborate with team to improve service and implement changes.
• Prioritize workload to meet deadlines.
• Escalate issues to supervisor when needed.

Skills

Denials appeals process

Track denials and appeals

Research for appeals

Data on denied claims

Report preparation

Interdepartmental coordination

Process improvement

Issue escalation

Education

Bachelor's degree in business/healthcare

Associate's degree + 3 years patient financial services

Tools

Contract management system

Job description

Jobvite, Inc. is seeking a Denials Patient Account Rep in Torrance, CA to review denied claims and manage the appeals process. You will help maintain third-party relationships and respond to inquiries while applying knowledge of contract and appeals laws.

The role supports the Denials Management Senior Analyst, contributing to Revenue Cycle efficiency, generating reports, and driving process improvements to reduce denials and optimize case flow.