Denials Specialist

United States·Tomballmid

Other

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Quick Summary

Requirements Summary

Effectively manages competing priorities and adjusts to changing needs. Integrity & Ethics: Demonstrates honesty, acc

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SynergenX | Low T Center | HerKare are leading providers of hormone replacement therapy and targeted wellness services. We’re looking for a detail-oriented and dependable Denials Specialist to join our Billing Department in Houston, Texas!

In this role, you’ll play an important part in keeping our billing operations running smoothly by researching denied claims, preparing appeals, correcting billing issues, and helping ensure timely reimbursement from insurance carriers. The ideal candidate is organized, communicates effectively, and enjoys problem-solving in a fast-paced, team-oriented environment.

Responsibilities

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Review and work aged accounts for assigned payers, prioritizing claims approaching timely filing deadlines.
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Research and correct current claim rejections (1–120 days old) and rebill claims as needed.
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Prepare and submit appeals to insurance carriers according to payer guidelines.
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Document all account activity, maintain accurate notes, and track appeal outcomes.
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Verify and maintain documentation of insurance eligibility.
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Provide status updates and reports to the Billing Supervisor and management as requested.
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Meet or exceed established deadlines, productivity standards, and departmental goals.
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Communicate promptly with management regarding system issues, payer concerns, or billing discrepancies.
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Stay up to date on payer requirements, billing procedures, and applicable coding guidelines.
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Collaborate with team members, share knowledge, and participate in cross-training and professional development.
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Follow company policies and confidentiality standards at all times.
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Assist with special projects and provide administrative or clerical support to clinic staff as needed.

What We Offer

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✓Health, dental, and vision insurance

✓Disability insurance

✓401(k) with 5% company match

✓Paid time off (PTO)

✓Tuition reimbursement

✓Employee discount for you and one additional person

As part of our interview process, we may use an AI-assisted tool for note-taking and documentation. AI does not make hiring decisions or independently evaluate or select candidates. All employment decisions are made by our hiring team based on the candidate's qualifications, experience, and overall fit for the position.

Please submit all application-related questions and inquiries through the application platform.

Location & Eligibility

Where is the job

Tomball, United States

On-site at the office

Who can apply

About this job

Pay per year: ≈ $37,440 a year; 45% below the $68,000 median for Other jobs on Jobera (128,861 salaries).
Who can apply: United States
Posted: 1 day ago
Employer: has 24 open jobs on Jobera.