Denials & Appeals Specialist

2 days ago

Tulsa, Oklahoma, United States Parkside Hospital Full time
Job Details Job Location: Parkside Hospital - Tulsa, OK 74120

Parkside provides professional purpose, hope and healing. As a member of our staff, you will be part of a mission-driven team, dedicated to changing lives and changing communities, one patient at a time.

Parkside Psychiatric Hospital & Outpatient Clinic is a comprehensive mental healthcare system providing acute in-patient care, residential treatment, and outpatient therapy. With a focus on society's most vulnerable population, Parkside provides world-class mental health services focused on youth, ages 5 to 30. For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, patient-centered care that propels families from hopeful to hope-filled. As a center of excellence, we cultivate talent and provide professional purpose. Together we facilitate healing, one patient at a time.

The Denials & Appeals Specialist is responsible for reviewing, correcting, and appealing denied claims as well as performing accounts receivable (AR) follow-up to ensure accurate and timely reimbursement. This role helps reduce preventable denials, improve collections, and support overall revenue cycle performance.

Essential Responsibilities:

  • Review denied claims and determine appropriate follow-up action.
  • Prepare and submit appeals with complete documentation.
  • Correct and resubmit claims as necessary to resolve errors.
  • Perform AR follow-up on outstanding accounts, including contacting payers and resolving adjudication issues.
  • Work high-dollar and aging accounts with priority to prevent write-offs.
  • Document all follow-up and appeal activity clearly in the billing system.
  • Identify denial and AR trends and communicate findings to the Billing Manager.
  • Collaborate with the RCM Analyst on denial and aging reports.
  • Coordinate with Patient Access and UR regarding eligibility- or authorization-related denials.
  • Other duties as assigned. 
Denials & Appeals Specialist

Qualifications:

  • High school diploma or equivalent required; additional education preferred.
  • Experience in medical billing, AR follow-up, or denial management strongly preferred.
  • Knowledge of payer rules, reimbursement methods, and appeal processes.
  • Strong written and verbal communication skills.
  • Ability to analyze claim data and identify trends.
  • Detail-oriented with strong problem-solving skills.

Benefits include:

  • Medical, Dental, and Vision
  • Generous Paid Time Off and Holidays
  • 401K and match start immediately, and includes a generous match
  • Company Paid Life Insurance and Disability and more

We are an Equal Opportunity Employer

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