ERISA Recovery
Join to apply for the
Hospital Appeal / Denial Analyst
role at
ERISA Recovery .
The actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $60,000.00/yr - $80,000.00/yr
Additional compensation types Annual Bonus
Direct message the job poster from ERISA Recovery
We are seeking a detail-oriented and experienced Senior Hospital Collection / Appeal Representative to join our team. The ideal candidate will have a strong understanding of hospital claim denials, billing, coding, medical terminology and specifically skilled in complex aged claims collections. This role is crucial in ensuring timely collection of outstanding accounts while maintaining positive relationships with clients and healthcare providers.
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. If you’re ready to advance your career with a company that values passion, precision, and teamwork, we want to meet you.
Position Overview We’re looking for a Senior Medical Hospital Collections Specialist to join our team. The ideal candidate is highly skilled in navigating denied claims, writing compelling appeals, and driving results in a fast-paced, deadline-oriented environment. This role requires an individual who is self‑motivated, detail-oriented, and thrives on collaboration while managing independent tasks with minimal oversight.
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
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.
Benefits
401(k)
401(k) matching
Health insurance
Paid time off
Vision insurance
Paid lunches
Life insurance
Referral Bonus
Schedule
8 hour shift
Relocation
Plano, TX 75093: Relocate before starting work (Required)
*$2,000.00 Signing Bonus‑Eligible after 45 days of employment
ERISA Recovery is an Equal Opportunity Employer
#J-18808-Ljbffr
Hospital Appeal / Denial Analyst
role at
ERISA Recovery .
The actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $60,000.00/yr - $80,000.00/yr
Additional compensation types Annual Bonus
Direct message the job poster from ERISA Recovery
We are seeking a detail-oriented and experienced Senior Hospital Collection / Appeal Representative to join our team. The ideal candidate will have a strong understanding of hospital claim denials, billing, coding, medical terminology and specifically skilled in complex aged claims collections. This role is crucial in ensuring timely collection of outstanding accounts while maintaining positive relationships with clients and healthcare providers.
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. If you’re ready to advance your career with a company that values passion, precision, and teamwork, we want to meet you.
Position Overview We’re looking for a Senior Medical Hospital Collections Specialist to join our team. The ideal candidate is highly skilled in navigating denied claims, writing compelling appeals, and driving results in a fast-paced, deadline-oriented environment. This role requires an individual who is self‑motivated, detail-oriented, and thrives on collaboration while managing independent tasks with minimal oversight.
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
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.
Benefits
401(k)
401(k) matching
Health insurance
Paid time off
Vision insurance
Paid lunches
Life insurance
Referral Bonus
Schedule
8 hour shift
Relocation
Plano, TX 75093: Relocate before starting work (Required)
*$2,000.00 Signing Bonus‑Eligible after 45 days of employment
ERISA Recovery is an Equal Opportunity Employer
#J-18808-Ljbffr