BUSINESS OFFICE - INSURANCE DENIAL/APPEALS SPECIALIST

MOUNTAIN VIEW HOSPITAL LLC • Idaho Falls, ID

4d • Onsite

About The Position

Mountain View Hospital is looking for an Insurance Denial/Appeals Specialist to join our team! The Hospital Insurance Denials & Appeals Specialist is responsible for reviewing, analyzing, and resolving denied or underpaid insurance claims. This role ensures appropriate reimbursement by identifying root causes of denials, preparing and submitting appeals, and working collaboratively with internal teams and insurance payers. Strong analytical skills, knowledge of healthcare billing regulations, and persistence are essential for success in this position.

Requirements

• High school diploma or equivalent.
• Experience interpreting EOBs, remittance advice, and payer policies.
• Proficiency with billing systems and electronic health records (EHR).
• Strong written and verbal communication skills.
• Excellent analytical, problem-solving, and organizational skills.

Responsibilities

• Reviewing, analyzing, and resolving denied or underpaid insurance claims.
• Identifying root causes of denials.
• Preparing and submitting appeals.
• Working collaboratively with internal teams and insurance payers.

Benefits

• Medical, Dental and Vision Insurance
• Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off
• Retirement Plans (401K with up to 6% match)
• Earned Quarterly Bonus Program
• Education Reimbursement Program
• Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital

What This Job Offers

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