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Sr Appeals and Denials Analyst(remote)

ERISA Recovery -
Remote

Quick Apply

Job Details

Full-time
$60,000 - $80,000 a year
10 days ago

Benefits

Health savings account
Paid holidays
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Teamwork
Interpersonal skills
Customer service
Medical coding
Attention to detail

Full Job Description

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

Top Remote Performers Wanted — Ready for Your Next Big Challenge?

We are seeking an experienced hospital Senior Appeals & Denial Analyst to join our remote team. This role is ideal for a skilled healthcare collection professional with deep expertise in hospital denials, 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! Apply and inquire today!

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.

Additional Benefits:

Paid holidays
Bonus programs
Vacation and sick time

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.

Desired Skills and Qualifications:

Bachelor’s degree preferred.
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

Pay: $60,000.00 - $80,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Vision insurance

Application Question(s):

How many years of in-patient hospital complex appeal writing experience do you have?

Work Location: Remote

Quick Apply

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