What are the responsibilities and job description for the Denials and Appeals Specialist, FT Days position at El Paso Children's Hospital?
The Denials and Appeals Specialist is responsible for reviewing denied claims and carrying out the appeals process. Works to maintain third-party payer relationships, including responding to inquiries, complaints, and other correspondence. Knowledgeable of state and federal laws that relate to payor contracts and appeals. Maintains and monitors integrity of the claim development and submission process.