Denials Specialist

Job description

ONSITE LOCATED IN HOUSTON TEXAS!: SynergenX-Low T Center-HerKare, are leading providers of hormone replacement and targeted wellness services, seeking a Denials Specialist team member to join our Billing Department. This role is responsible for collecting and reviewing denial information, preparing appeals, and submitting necessary correspondence and documentation to carriers. The Denials Specialist will also research patient accounts to prevent billing rejections, track appeal outcomes, and provide regular reports to the Billing Supervisor. This position requires excellent attention to detail, strong communication skills, and the ability to manage multiple priorities in a fast-paced environment. Responsibilities: - Review and work aged accounts on assigned payers, prioritizing those approaching timely filing deadlines. - Research and correct current rejections (1–120 days old) and re-bill claims as needed. - Prepare and submit appeals to payers per guidelines; document all actions and track outcomes. - Maintain clear notes on accounts, including proof of insurance eligibility. - Provide status updates and reports to management as requested. - Meet or exceed deadlines and departmen...