What are the responsibilities and job description for the Hospital Appeal/Denial Analyst position at ERISA Recovery?
No Suprise Act a plus-Hospital Appeals/Denials Analyst
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 with 1 years of 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