Denial Clerk, Full Time

Hialeah Hospital • Hialeah, FL

3d

About The Position

The Denial Clerk supports the denial management process by handling denied insurance claims, maintaining accurate documentation, and coordinating with multiple areas to resolve payment issues. The role involves tracking denials, retrieving records and payer information through electronic systems and portals, sending supporting documentation and appeals, and following up with insurers.

Requirements

• High school diploma or equivalent.
• Proficiency in Microsoft Office, including Word, Excel, and Outlook.
• Organizational and time-management skills.
• Strong written and verbal communication skills.
• Detail-oriented, courteous, and results-driven.

Responsibilities

• Gather and record information from denied insurance claims.
• Track new denials and update the patient account system with correspondence and related documentation.
• Use the EHR system to retrieve medical records, itemized bills, and payer correspondence.
• Use the billing platform to view and print UBs and check claim status, including rejections.
• Use payer portals to view and retrieve payments and denials.
• Send documentation, appeals, and medical records.
• Follow up with insurance companies on appeals and reconsiderations.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED