Denials Specialist

Baptist Healthcare; Little Rock (AR); On-site; USD 42,000 - 54,000; Full time

Job summary

Baptist Health in Little Rock is seeking a Denials Specialist to manage claim denials, initiate reconsiderations or appeals, and coordinate with payors to resolve issues efficiently. You will document and track outcomes, working closely with PFS leadership to identify root causes and implement denial-prevention practices.

The role requires a strong background in medical billing, the ability to multitask in a fast-paced environment, and excellent analytical and communication skills.

Qualifications

• 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.

Responsibilities

• Manage claim denials and initiate reconsideration or appeal processes.
• Document, track status, and communicate with payors to resolve issues promptly.
• Collaborate with PFS management to collect data on root causes and denial prevention procedures.
• Maintain accurate records and ensure timely follow-up on appeals.
• Support continuous improvement of denial management workflows.

Skills

Medical billing

Denials management

Claims follow-up

Data analysis

Communication

Education

High school diploma or equivalent

Bachelor degree preferred

Job description

Denials Specialist

Clinic-PB Patient Fin Service | Job ID: 65347

BHMC-Little Rock

Full Time

Job Details

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:

1. High school diploma or equivalent
2. Bachelor degree preferred.
3. 5 years experience in medical billing and insurance.
4. Must be able to work in a fast paced environment and effectively multitask.
5. Excellent critical thinking and analytical skills required.
6. Ability to communicate accurately, clearly, and professionally.

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

Connect With Us

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

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. 2021 Baptist Health. All Rights Reserved.