Appeals Specialist - Business Office

Overview

Appeals Specialist
- Business Office
- Days |

Location:

Beaumont, TX | Job Code: 12689 | Number of openings: 1

We are looking to add top talent to our Baptist Hospitals of Southeast Texas team. Join us in performing Sacred Work!

• Matched Retirement Plan
• Paid Time Off
• Comprehensive Benefit Plan – Medical, Dental, Vision and Much More!
• Bonus Potential

The Appeals Specialist is responsible for working appeals on denied claims. Ensures all denied claims are entered into the database and appeals are sent timely to all payers. Works with medical necessity compliance and Appeals Company and attorneys for claims resolution.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Works denied claims timely within goals established by management.
• Sends appeal or recommends write off to management on denied claims.
• Ensures denial information is entered into appropriate system to facilitate collection of accounts.
• Monitors and identifies trends resulting in increased denials and notifies appropriate person for corrective action.
• Works with outside departments, providers and insurance companies to facilitate billing and collection of claims.
• Works with patients to resolve issues and facilitate billing and collection of claims.