Denials Management Administrative Clerk

DHR Health; Edinburg (TX); On-site; USD 30,000 - 42,000; Full time

Job summary

DHR Health in Edinburg, TX, is seeking a secretary/administrative assistant to support the Denials Team. The role focuses on document management, scheduling, and communications to ensure timely appeals and accurate records.

The position requires strong organization, English proficiency, and professional communication with nurses, administrators and physicians. This is a full-time, on-site role with potential development within the health information management department.

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 by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
• Able to perform the necessary functions on the facility computer system.
• Works collaboratively with Denials on report discrepancy.
• Establishes, maintains and revises record keeping and filing systems, ensuring confidentiality of information.
• Consistently is attentive to detail, record keeping and required paperwork inherent to the position.
• Prints/faxes correspondence reports in a timely manner.
• Accepts and screens telephone calls and routes calls appropriately.
• Informs management when the situation warrants immediate attention.
• Informs Management on status of appeals from Careport
• Monitors & corrects any duplicate records in Careport
• Informs immediate supervisor of any delays in assigned tasks in Careport
• Other duties as assigned

Skills

Communication

Organization

Written Communication

English Proficiency

Hospital Experience

Office Software

Job description

DHR Health in Edinburg, TX, is seeking a secretary/administrative assistant to support the Denials Team. The role focuses on document management, scheduling, and communications to ensure timely appeals and accurate records.

The position requires strong organization, English proficiency, and professional communication with nurses, administrators and physicians. This is a full-time, on-site role with potential development within the health information management department.