Denials Specialist

SynergenX Health Holdings LLC • Tomball, TX

3d • Onsite

About The Position

SynergenX-Low T Center-HerKare, leading providers of hormone replacement and targeted wellness services, are seeking a Denials Specialist team member to join their 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.

Requirements

• High School Diploma or GED required.
• Excellent attention to detail and accuracy.
• Strong written and verbal communication skills.
• Ability to multitask and meet deadlines.
• Team-oriented with a strong customer service focus.
• Proficiency with Microsoft Office (Word, Excel, Outlook).

Nice To Haves

• Previous billing or medical office experience preferred, but not required.

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 department goals.
• Communicate promptly with management regarding system or payer issues.
• Support team members through knowledge sharing and collaboration.
• Participate in cross-training and personal development opportunities.
• Ensure accuracy by understanding payer rules, billing rules, and coding guidelines.
• Adhere to company policies and confidentiality standards at all times.
• Assist with special projects as assigned.
• Support clinic staff with administrative and clerical tasks as needed
• Maintain a clean, organized, patient friendly front desk and waiting area
• Keep snacks and supplements organized and stocked.

Benefits

• Health, dental and vision insurance
• Disability insurance
• 401k with 5% matching
• Scrubs provided
• PTO
• Tuition reimbursement
• Employee discount with a plus 1

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1-10 employees