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Healthcare Appeal Analyst

ERISA Recovery
locationPlano, TX, USA
PublishedPublished: 6/14/2022
Full Time

Job Description

Ready to Turn Performance into an Opportunity?


ERISA Recovery is seeking a motivated entry-level AR Hospital Collections Analyst to join our healthcare revenue cycle team. This role is ideal for candidates looking to build experience in medical billing, insurance follow-up, and hospital accounts receivable (NSA experience a plus).


Job Summary

The AR Hospital Collections Analyst supports the resolution of outstanding hospital accounts receivable by working with insurance payers and internal teams. This role focuses on claim follow-up, denial research, and accurate account documentation. No Surprises Act (NSA) knowledge is a plus. We hire driven, talented, and result driven individuals and offer competitive pay and a structured bonus program. Opportunities for advancement as we grow!


Required Qualifications

  • Basic understanding of medical billing or willingness to learn
  • Strong attention to detail and organizational skills
  • Experience with verifying in/out of network benefits
  • Experience with working Medicare & Medicaid Managed Care
  • Ability to manage repetitive tasks while meeting productivity expectations
  • Comfortable working both independently and as part of a team
  • Negotiating skills

Preferred

  • Exposure to medical billing, insurance claims, or AR processes
  • Familiarity with systems such as Epic, Cerner, or Meditech
  • Basic knowledge of CPT/ICD coding
  • Strong communication and problem-solving skills


Key Responsibilities

  • Review assigned AR accounts to help resolve outstanding balances
  • Follow up with insurance companies on unpaid or underpaid claims
  • Research claim denials and assist with corrections or resubmissions
  • Support appeal processes using established guidelines
  • Ability to verify IN/OP Network benefits
  • Managed Medicaid/Medicare experience
  • Assist with accounts impacted by the No Surprises Act under team guidance
  • Follow internal workflows for out-of-network and emergency service billing
  • Help gather documentation for dispute resolution processes (e.g., IDR cases)
  • Communicate with insurance representatives regarding claim status
  • Work with internal billing, coding, and registration teams to resolve issues
  • Provide basic account information when needed
  • Maintain accurate notes in AR/billing systems
  • Track account activity and follow-up actions
  • Assist with basic AR reporting as needed


Benefits

  • 401(k)
  • 401(k) matching
  • Health insurance
  • Vision insurance
  • Health savings account
  • Dental insurance
  • Flexible spending account
  • Life insurance
  • Disability insurance
  • Paid holidays
  • Lunch program
  • Free Gym Access
  • Bonus programs


Full-Time

On-Site only


ERISA Recovery is an Equal Opportunity Employer

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