Senior Hospital Appeals & Denials Specialist — In-Office

ERISA Recovery, Inc.; Plano (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

401(k) matching

Health insurance

Vision insurance

Health savings account

Flexible spending account

Life insurance

Disability insurance

Paid holidays

Lunch program

Signing bonus

Referral bonus

Monthly bonus

Quarterly bonus

Vacation time

Sick time

Gym access

Job summary

ERISA Recovery, Inc. in Plano, TX is seeking a Senior Medical Hospital Appeal/Denial specialist. This role focuses on reviewing denied hospital claims, drafting appeals, and maximizing recoveries across UB-04 processes.

You will work in-office, multitask in a fast-paced team, collaborate with insurance companies and providers, and contribute to a growing revenue cycle operation with strong bonus programs and benefits.

Qualifications

• 5-10 years of experience with collecting hospital medical bills and writing appeals (ERISA experience a plus).
• Proficient in computer skills including Windows PC applications, typing, navigation and willingness to learn new systems/programs.
• Ability to communicate effectively with excellent verbal and written communication skills.
• Ability to multi-task complex cases while remaining productive and focused daily.
• Excellent organizational skills with focus on detail.

Responsibilities

• Review independently, submit/follow up, document and collect billing on denied hospital medical claims.
• Resolve denied hospital medical claims quickly and accurately.
• Write medical appeals using clear language to maximize recoveries.
• Communicate with insurance companies and healthcare providers.
• Collaborate with internal and external departments to resolve claims.

Skills

Hospital billing

Appeals writing

UB-04 claims processing

Communication

Multi-tasking

Tools

Windows PC applications

Job description

ERISA Recovery, Inc. in Plano, TX is seeking a Senior Medical Hospital Appeal/Denial specialist. This role focuses on reviewing denied hospital claims, drafting appeals, and maximizing recoveries across UB-04 processes.

You will work in-office, multitask in a fast-paced team, collaborate with insurance companies and providers, and contribute to a growing revenue cycle operation with strong bonus programs and benefits.