Claims Resolution Specialist

1 week ago


El Paso, Texas, United States El Paso Children's Hospital Full time
Job Title: Denials and Appeals Specialist

El Paso Children's Hospital is seeking a highly skilled Denials and Appeals Specialist to join our team. As a key member of our revenue cycle department, you will be responsible for reviewing denied claims and navigating the appeals process to ensure timely reimbursement.

Key Responsibilities:
  • Review and analyze denied claims to identify root causes and develop effective appeals strategies
  • Communicate with third-party payers to resolve issues and negotiate settlements
  • Maintain accurate records and reports to track appeals progress and identify trends
  • Collaborate with healthcare providers and billing teams to resolve claim discrepancies
  • Stay up-to-date on state and federal laws governing payor contracts and appeals
Requirements:
  • At least two years of experience in healthcare billing, collections, payment processing, and denials management
  • Proficiency in computer programs for tracking denials and appeals
  • Bachelor's degree in business, healthcare, or related field, or equivalent combination of education and experience
What We Offer:

El Paso Children's Hospital offers a competitive salary and benefits package, as well as opportunities for professional growth and development in a dynamic and supportive work environment.


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