<p>We are looking for a meticulous Hospital Denial Claims Specialist to join our team on a long-term contract basis in Dallas, Texas. In this role, you will focus on resolving hospital billing claim denials by performing detailed investigations, analyzing accounts, and identifying root causes. This position is essential in ensuring proper reimbursement and improving overall revenue cycle processes.</p><p>This is a 6-12+ month contract assignment.</p><p>100% REMOTE</p><p><br></p><p><strong><u>Hospital Denial Claims Specialist (contract position):</u></strong></p><p>Responsibilities:</p><p>• Investigate and resolve insurance denials for hospital billing claims, ensuring thorough account-level analysis.</p><p>• Identify and document root causes of claim denials, utilizing payer guidelines and system documentation.</p><p>• Evaluate denial reason codes and recommend corrective actions to prevent recurring issues.</p><p>• Collaborate with cross-functional teams, including billing, coding, and clinical staff, to address systemic claim submission errors.</p><p>• Communicate trends and findings to leadership, offering insights for process improvements.</p><p>• Conduct detailed follow-ups to resolve outstanding claims efficiently and accurately.</p><p>• Maintain up-to-date knowledge of hospital billing requirements, payer policies, and reimbursement guidelines.</p><p>• Leverage advanced Excel skills to track claims, analyze trends, and generate reports.</p><p>• Utilize Epic systems for comprehensive claim research and account documentation.</p>
