Denials Specialist

Veterans in Healthcare; Little Rock (AR); On-site; USD 42,000 - 64,000; Full time

Job summary

Baptist Health is seeking a Denials Specialist at its BHMC-Little Rock site to manage claim denials and drive timely reconsideration or appeals. The role requires documenting, tracking statuses, and collaborating with payors to resolve issues. You will assist PFS management in collecting data on root causes and denial prevention.

Ideal candidates have 5 years of medical billing experience and excellent analytical and communication skills to thrive in a fast-paced environment.

Qualifications

• Must have high school diploma or equivalent.
• Bachelor degree is preferred, not required.
• Minimum 5 years of experience in medical billing and insurance.
• Able to work in a fast-paced environment and multitask.
• Excellent critical thinking and analytical skills are required.
• Ability to communicate accurately, clearly and professionally.

Responsibilities

• Handle claim denials and initiate reconsideration or appeal processes.
• Document, track status, and collaborate with payors to resolve issues promptly.
• Work with PFS management to collect data on root causes and denial prevention.

Skills

critical thinking

analytical skills

communication skills

multitasking

Education

High school diploma or equivalent

Bachelor degree preferred

Job description

Denials Specialist

BHMC-Little Rock, Full Time

Department: Clinic-PB Patient Fin Service

Shift: Day

Working Hours: 8-5

Summary

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
• Bachelor degree preferred.
• 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 authorized 80.00 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.

Learn more about what it means to be part of the Baptist Health team by following us on social media.