Sr. Healthcare Appeals Analyst

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

Benefits offered by this job

401(k)

401(k) matching

Health insurance

Vision insurance

Health savings account

Flexible spending account

Life insurance

Disability insurance

Paid holidays

Vacation and sick time

Job summary

ERISA Recovery is seeking a Senior Appeals & Denial Analyst to join our in-office AR hospital appeals team in Dallas, TX. You will handle UB-04 hospital claims, write medical appeals, and coordinate with payors to maximize recoveries for our clients.

The ideal candidate has 5–10 years in hospital billing, denials, and appeals, with ERISA experience considered a strong plus. This role offers performance-based pay and comprehensive benefits in a fast-growing revenue cycle company.

Qualifications

• 5–10 years of hospital billing, collections, and appeals.
• ERISA experience is a significant plus.
• Strong communication and organizational skills.

Responsibilities

• Process UB-04 hospital claims with knowledge of form requirements.
• Draft and submit medical appeals to maximize recoveries.
• Review denials, follow up, and collect payments.
• Collaborate with internal teams and payors to expedite resolution.
• Meet daily, weekly, and monthly performance benchmarks.

Skills

Hospital billing

Denials & appeals

Communication skills

Multi-tasking

Attention to detail

Education

Bachelor's degree in related field

Tools

Billing software

Windows OS

Job description

*$2,000.00 Signing Bonus* -Eligible after 90 days of employment

Turn Denials into Dollars: Join Our AR Hospital Appeals Team!

We are seeking an experienced hospital Senior Appeals & Denial Analyst to join our in-office team. This role is ideal for a skilled healthcare collection professional with deep expertise in hospital denials, writing appeals, and complex account resolution. The right candidate will thrive in a fast-paced environment, take ownership of challenging claims, and contribute to maximizing recoveries for our clients. Performance pays-we offer a competitive wage and bonus opportunities!

About Us:

ERISA Recovery is a fast-growing company based in Dallas, TX, specializing in the recovery of aged and complex claims using the Federal ERISA appeals process. Our collaborative and innovative team offers an extraordinary opportunity for career growth in the ever-evolving revenue cycle industry.

Key Responsibilities:

• Expertise in processing UB-04 hospital claims with a comprehensive understanding of hospital billing form requirements.
• Strong knowledge of medical terminology, CPT codes, modifiers, and diagnosis codes.
• Thorough understanding of the revenue cycle process, including prior authorization, billing, insurance appeals, and hospital collections.
• Extensive experience with payor contracts and claim reimbursement policies.
• Independently review, submit, follow up on, and collect payments for denied hospital claims.
• Ensure denied hospital medical claims are resolved quickly and accurately.
• Communicate professionally and effectively with insurance companies and healthcare providers to expedite claims resolution.
• Draft and submit clear and concise medical appeals aimed at maximizing claim recoveries.
• Collaborate cross‑functionally with internal departments and external stakeholders to optimize claim outcomes.
• Adapt and learn new systems and technologies to enhance the claims process.
• Meet daily, weekly, and monthly performance benchmarks to ensure individual and team success.
• 401(k)
• 401(k) matching
• Health insurance
• Vision insurance
• Health savings account
• Flexible spending account
• Life insurance
• Disability insurance
• Paid holidays
• Vacation and sick time

Desired Skills and Qualifications:

• 5-10 years of experience in hospital medical billing, collections, and appeals; ERISA experience is a significant plus.
• Proficiency in computer applications, including Windows PC systems, and a willingness to adopt new technologies.
• Excellent verbal and written communication skills for clear and concise correspondence with all parties.
• Strong multitasking abilities, particularly in managing complex cases while maintaining high productivity and attention to detail.
• Exceptional organizational skills and the ability to meet deadlines in a fast-paced environment.
• A commitment to providing outstanding customer service to clients and internal teams.

Schedule:

• 8-hour shift

ERISA Recovery is an Equal Opportunity Employer