Appeals & Denials Specialist- Join our Fast-Paced, Problem-Solving Team! 

We are seeking a intermediate-level Appeals & Denials Specialist with a solid foundation and 1-2 years of hands-on experience in Medical Billing to join our Dallas based Billing team. In this role, you’ll play a key part in ensuring accurate claims processing, tackling denials, managing resubmissions, and driving successful collections for home health services across multiple payer sources. Every day will bring new puzzles to solve and fresh opportunities to make an impact. Our hybrid environment allows for in office collaboration and learning, while providing work life balance and flexibility! 

Current KidsCare employees - Know someone perfect for this role? Please send your referral to our recruiting team at [recruiting@kidscarehh.com] to qualify for our enhanced referral bonus! 

Ideal Candidates will have:

• Experience with medical billing denials, appeals, ERAs/EOBs
• Consistently meet and adhere to department and payer deadlines
• Strong attention to detail, research, and analytical skills.
• A collaborative mindset to work seamlessly with your team.
• Excellent communication skills and a willingness to accept feedback.
• A passion for problem-solving and navigating complex issues.

Key Responsibilities:

• Navigate systems to file timely reconsiderations and appeals. 
• Communicate with payers to track and resolve balances, correct and reprocess claims, and appeal discrepancies.
• Investigate and resolve claim denials, ensuring accurate corrections and timely resubmissions.
• Review and resolve unpaid balances on assigned accounts.
• Conduct eligibility checks across various insurance providers, ensuring timely holds/discharges and notifying relevant parties.
• Collaborate across departments, maintain compliance, and deliver excellent customer service.

Qualifications:

• High school diploma or general education degree (GED).
• Two (2) years of medical billing experience preferred.
• Proficiency in Microsoft Excel and Medical Billing Systems.

KidsCare Home Health provides a competitive benefits and compensation package that includes medical, dental, vision, paid time off, holidays, 401k, and tuition reimbursement! We are proud to be a multi year Top Workplace Award winner! 

INDA