Denials Specialist

Baptist Health Arkansas; Little Rock (AR); On-site; USD 52,000 - 66,000; Full time

Job summary

Baptist Health Arkansas is seeking a Denials Specialist to manage and resolve medical claim denials. The role involves initiating reconsiderations or appeals, documenting actions, and tracking denial status with payors.

Collaboration with PFS management focuses on root-cause analysis and denial prevention to improve payment outcomes. The position requires a high school diploma and 5 years in medical billing/insurance, with the ability to work in a fast-paced environment and multitask while

Qualifications

• High school diploma or equivalent required.
• 5 years of experience in medical billing/insurance.
• Ability to multitask in a fast-paced environment.
• Strong critical thinking and analytical skills.
• Excellent written and verbal communication.

Responsibilities

• Manage and resolve claim denials, initiate reconsiderations or appeals.
• Document activities and track denial status with payors.
• Collaborate with PFS management to identify root causes and implement denial prevention.
• Maintain timely communication with stakeholders and ensure accurate documentation.

Skills

Medical billing

Insurance

Root cause analysis

Documentation

Communication

Education

High School Diploma

Job description

Denials Specialist

Shift: Day

Working Hours: 8-5

The Denial Specialist is responsible for working claim denials for Baptist Health. This includes initiating the reconsideration or appeal process. They must be able to document, track status, and work with payors to resolve issues in a timely manner. They will work closely with the PFS management to assist in collecting data on root causes and denial prevention procedures.

Other information:

• High school diploma or equivalent
• 5 years experience in medical billing and insurance.
• Must be able to work in a fast paced environment and effectively multitask.
• Excellent critical thinking and analytical skills required.
• Ability to communicate accurately, clearly, and professionally.

This job will be authorized80.00 hours bi-weekly.

Today, Baptist Health is Arkansas' most comprehensive healthcare organization with more than 250 points of access that include 11 hospitals, urgent care centers, a senior living community, and over 100 primary and specialty care clinics in Arkansas and eastern Oklahoma.