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Sr. Healthcare Appeals Analyst

ERISA Recovery

*$2,000.00 Signing Bonus* -Eligible after 90 days of employment Turn Denials into Dollars: Join Our AR Hospital Appeals Team! We are seeking an experienced hospital Senior Appeals & Denial Analyst to join our in-office team. This role is ideal for a skilled healthcare collection professional with deep expertise in hospital denials, writing 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! 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. 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. 401(k) 401(k) matching Health insurance Vision insurance Health savings account Flexible spending account Life insurance Disability insurance Paid holidays Vacation and sick time Desired Skills and Qualifications: 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 #J-18808-Ljbffr ERISA Recovery

Vacancy posted 3 days ago
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