Hybrid Denials & Payment Appeals Specialist

Baptistfirst; Montgomery (AL); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Baptist Health Resource Center in Montgomery, AL seeks a Denials Management Specialist to validate dispute reasons, escalate payment variances, and generate appeals for denied or underpaid claims.

Requires high school diploma; 3+ years in hospital billing/collections; CRCR/CPAR preferred; strong MS Office, analytical and problem-solving skills; ability to work independently and in teams.

Qualifications

• High School diploma or equivalent required.
• Associates degree or higher preferred.

Responsibilities

• Validate dispute reasons, escalate payment variance trends or issues to management.
• Generate appeals for denied or underpaid claims.
• Resolve complex and aged accounts.
• Document all pertinent collection activity performed.

Skills

Leadership

Organization

Interpersonal skills

Customer relations

Deadline management

Analytical thinking

Problem solving

Written communication

Verbal communication

ICD/CPT coding

Education

High School diploma

Associate degree

Tools

MS Office

Job description

Baptist Health Resource Center in Montgomery, AL seeks a Denials Management Specialist to validate dispute reasons, escalate payment variances, and generate appeals for denied or underpaid claims.

Requires high school diploma; 3+ years in hospital billing/collections; CRCR/CPAR preferred; strong MS Office, analytical and problem-solving skills; ability to work independently and in teams.