Parkside Hospital in
Denials & Appeals Specialist (Administrative)
Parkside Psychiatric Hospital & Outpatient Clinic is a comprehensive mental healthcare system providing acute in‑patient care, residential treatment, and outpatient therapy. With a focus on society's most vulnerable population, Parkside provides world‑class mental health services focused on youth, ages 5 to 30.
Parkside provides professional purpose, hope and healing. As a member of our staff, you will be part of a mission‑driven team, dedicated to changing lives and changing communities, one patient at a time.
The Denials & Appeals Specialist is responsible for reviewing, correcting, and appealing denied claims as well as performing accounts receivable (AR) follow‑up to ensure accurate and timely reimbursement. This role helps reduce preventable denials, improve collections, and support overall revenue cycle performance.
Essential Responsibilities
Review denied claims and determine appropriate follow‑up action.
Prepare and submit appeals with complete documentation.
Correct and resubmit claims as necessary to resolve errors.
Perform AR follow‑up on outstanding accounts, including contacting payers and resolving adjudication issues.
Work high‑dollar and aging accounts with priority to prevent write‑offs.
Document all follow‑up and appeal activity clearly in the billing system.
Identify denial and AR trends and communicate findings to the Billing Manager.
Collaborate with the RCM Analyst on denial and aging reports.
Coordinate with Patient Access and UR regarding eligibility‑ or authorization‑related denials.
Other duties as assigned.
Qualifications
High school diploma or equivalent required; additional education preferred.
Experience in medical billing, AR follow‑up, or denial management strongly preferred.
Knowledge of payer rules, reimbursement methods, and appeal processes.
Strong written and verbal communication skills.
Ability to analyze claim data and identify trends.
Detail‑oriented with strong problem‑solving skills.
Benefits
Medical, Dental, and Vision.
Generous Paid Time Off and Holidays.
401K with match starting immediately.
Company‑Paid Life Insurance and Disability.
And more!
We are an Equal Opportunity Employer!
#J-18808-Ljbffr
Parkside provides professional purpose, hope and healing. As a member of our staff, you will be part of a mission‑driven team, dedicated to changing lives and changing communities, one patient at a time.
The Denials & Appeals Specialist is responsible for reviewing, correcting, and appealing denied claims as well as performing accounts receivable (AR) follow‑up to ensure accurate and timely reimbursement. This role helps reduce preventable denials, improve collections, and support overall revenue cycle performance.
Essential Responsibilities
Review denied claims and determine appropriate follow‑up action.
Prepare and submit appeals with complete documentation.
Correct and resubmit claims as necessary to resolve errors.
Perform AR follow‑up on outstanding accounts, including contacting payers and resolving adjudication issues.
Work high‑dollar and aging accounts with priority to prevent write‑offs.
Document all follow‑up and appeal activity clearly in the billing system.
Identify denial and AR trends and communicate findings to the Billing Manager.
Collaborate with the RCM Analyst on denial and aging reports.
Coordinate with Patient Access and UR regarding eligibility‑ or authorization‑related denials.
Other duties as assigned.
Qualifications
High school diploma or equivalent required; additional education preferred.
Experience in medical billing, AR follow‑up, or denial management strongly preferred.
Knowledge of payer rules, reimbursement methods, and appeal processes.
Strong written and verbal communication skills.
Ability to analyze claim data and identify trends.
Detail‑oriented with strong problem‑solving skills.
Benefits
Medical, Dental, and Vision.
Generous Paid Time Off and Holidays.
401K with match starting immediately.
Company‑Paid Life Insurance and Disability.
And more!
We are an Equal Opportunity Employer!
#J-18808-Ljbffr