Strategic Insurance Denials & Appeals Specialist

Mountain-View-Hospital-LLC; Idaho Falls (ID); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

401K with up to 6% match

Education Reimbursement

Job summary

Mountain View Hospital in Idaho Falls seeks an Insurance Denial/Appeals Specialist to review, analyze, and resolve denied or underpaid insurance claims. You identify root causes, prepare appeals, and coordinate with internal teams and insurance payers.

The ideal candidate has experience interpreting EOBs, remittance advice, and payer policies, strong analytical skills, and knowledge of healthcare billing regulations.

Qualifications

• Experience interpreting EOBs, remittance advice, and payer policies.
• Strong analytical skills and problem-solving abilities.
• Knowledge of healthcare billing regulations and requirements.

Responsibilities

• Review, analyze, and resolve denied or underpaid insurance claims.
• Identify root causes and prepare/sub mit appeals in collaboration with internal teams and payers.
• Maintain accurate documentation and support process improvements in billing workflows.

Skills

EOB interpretation

Analytical skills

Payer policies knowledge

Education

High school diploma or equivalent

Tools

Billing systems

Electronic Health Records (EHR)

Job description

Mountain View Hospital in Idaho Falls seeks an Insurance Denial/Appeals Specialist to review, analyze, and resolve denied or underpaid insurance claims. You identify root causes, prepare appeals, and coordinate with internal teams and insurance payers.

The ideal candidate has experience interpreting EOBs, remittance advice, and payer policies, strong analytical skills, and knowledge of healthcare billing regulations.