Denial & Appeal Coordinator

Job Details

Job Location
:
Uvalde, TX 78801
Position Type
:
Full Time

Denial & Appeal Coordinator – Revenue Integrity Department
Location: Uvalde Memorial Hospital – Uvalde, Texas
Job Type: Full-Time | Non-Exempt

Are you detail-oriented, persistent, and passionate about supporting healthcare from behind the scenes? Join the Revenue Integrity team at Uvalde Memorial Hospital as a Denial & Appeal Coordinator and help safeguard the financial sustainability of our hospital.

In this role, you’ll review and analyze denied or underpaid insurance claims, prepare appeals, and collaborate across departments to ensure accurate and timely reimbursement for hospital services. Your work ensures providers are reimbursed properly for the care they deliver—helping us continue to serve our community with excellence.

• Investigate payer remittance advice and explanation of benefits (EOBs) for denied or underpaid claims

• Analyze root causes and categorize denials by type, payer, and department

• Prepare and submit detailed appeals within payer‑specific time frames

• Gather medical records, coding references, and other documentation to support appeal submissions

• Collaborate with coding, billing, registration, and clinical teams to reduce denial trends

• Track, monitor, and follow up on appeal statuses through resolution

• Communicate directly with payers to request reconsiderations or clarify denial reasons

• Ensure full compliance with HIPAA, Medicare regulations, and internal policies

• Generate denial reports and participate in process improvement discussions

• Be part of a mission‑driven team that values integrity and accountability

• Work in a collaborative environment focused on continuous improvement

• Help ensure no care goes unpaid and every patient encounter is supported

• Education: Bachelor’s degree in Business, Finance, or related field preferred

• Experience: 2+ years of experience in billing, coding, or revenue cycle—Critical Access Hospital experience preferred

• Skills:

  • Strong analytical and problem‑solving abilities

  • Detail‑oriented with excellent documentation habits

  • Proficiency in Microsoft Office (especially Excel and Word)

  • Clear and professional communication skills

  • Ability to work both independently and collaboratively

If you thrive in a fast‑paced environment and have a passion for improving healthcare reimbursement processes—this could be your next step in healthcare administration.