Abrar Admin

HHM Health

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 Location -
 
 Mesquite
 
 
 
 Join our team!
 
 
 
 Are you looking for an opportunity to serve a bigger purpose with a growing organization? Are you passionate and dedicated to making a positive impact? Then we have a spot waiting for you. We are seeking an engaging Denial and Appeal Specialist to join our growing team in Mesquite. As part of the HHM team, you would be responsible for reviewing, analyzing, and resolving denied healthcare claims by preparing and submitting appeals to insurance companies. This role ensures proper reimbursement by identifying root causes of denials and working closely with billing, coding, and clinical teams.
 
 
 
 Here's a sneak peek at what you'll do:
 
 
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 Review and analyze denied insurance claims across all payer types (Medicaid, MCO&rsquo;s, Medicare, Commercial etc.)
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 Perform detailed denial analysis to determine root cause (coding, documentation, eligibility, authorization, billing errors, payer issues)
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 Prepare and submit accurate and timely appeal requests with supporting documentation
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 Own assigned denial inventory and ensure timely resolution
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 Follow up with insurance companies on appeal status and resolution&nbsp;
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 Collaborate with providers, coders, and billing teams to gather required information&nbsp;
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 Track and document all appeals, outcomes, and correspondence&nbsp;
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 Identify denial trends and recommend process improvements to reduce future denials&nbsp;
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 Ensure compliance with payer policies, coding standards, and HIPAA regulations
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 Develop workflows and improve denial management processes
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 </ul>
 
 
 What you need to succeed
 
 
 
 To be a productive member of our team, you will have a pleasant and professional demeanor, be a self-starter, have the ability to work independently, strong communication skills and the ability to preserve confidentiality. You will also have the following:
 
 
 <ul>
 
 <li>
 High school diploma or equivalent (Associate&rsquo;s or bachelor's preferred)
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 3-5yearsof related experience, prior experience in a revenue cycle with a community-based setting with focus on denials and appeals
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 </ul>
 
 <ul>
 
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 Experience in medical billing, coding, or revenue cycle management along with experience with Medicaid, Medicare, and commercial payers
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 CPC or CPB is a plus
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 Knowledge of CPT, ICD-10, and HCPCS coding systems&nbsp;
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 Familiarity with insurance payer policies and claims processes&nbsp;
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 Experience with EMR/EHR and billing software
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 Bilingual (English/Spanish) a plus
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 </ul>
 
 
 What We Offer
 
 
 
 At HHM Health, the health and well-being of our employees matter just as much as that of our patients. We offer free employee coverage for vision, dental, and life insurance; and competitive medical premiums. Additionally, our full-time employees are eligible for the following:
 
 
 <ul>
 
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 Health Savings Account
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 403(b) retirement savings plan with dollar-for-dollar matching up to 3% and match 50% of the next 2% (contribute 5% to get 4% matched). 100% vested upon enrollment.
 </li>
 
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 Generous paid time off plan for full-time employees (includes Sick and Volunteer Days)
 </li>
 
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 Paid Holidays
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 Accidental Death &amp; Dismemberments (ADD) plan
 </li>
 
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 Short-term &amp; Long-term Disability
 </li>
 
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 Employee Assistance Programs (EAP)
 </li>
 
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 HHM CARES Fund (employee emergency relief fund)
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 </ul>
 
 
 We&rsquo;re battling the Dallas Community&rsquo;s Healthcare Crisis
 
 
 
 At HHM Health, our mission is to provide quality healthcare to all in the growing DFW Metroplex. Our vision is to be the best patient-focused health center providing holistic care. We exemplify our CARES Values (Compassion, Advocacy, Respect, Excellence, Servant Heart) to provide a positive &amp; meaningful patient experience to all in Dallas and the surrounding counties.
 
 
 
 Equal Opportunity Employer
 
 
 
 HHM Health is committed to providing equal employment opportunity to all individuals regardless of their race, color, religion, gender identity and expression, age, sexual orientation, national origin, disability, veteran status, marital status or any other characteristic protected by federal, state or local law. HHM Health hires and promotes based solely on the qualifications of the individual and the essential functions of the job being filled.
 
 
 
 To learn more about how we&rsquo;re making a difference, visit us online at:&nbsp;https://www.hhmhealth.org/
 
</div>

Denials & Appeals Specialist

<div>
 
 
 Join our Team!
 
 
 Are you looking for an opportunity to serve a bigger purpose with a growing organization? Are you a passionate and dedicated Medical Assistant who wants to make a positive impact? Then we have a spot waiting for you. We are seeking Medical Assistants with a passion for service excellence to join our team. You&rsquo;ll be responsible for supporting our clinical providers and patients. This position will be utilized in a float capacity and rotate through the different HHM Pediatric clinics.
 
 
 
 
 Here's a sneak peek at what you'll do
 
 :
 
 
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 Prepare patients for examination and treatment.&nbsp;
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 Assess patient&rsquo;s conditions by taking vital signs such as blood pressure, temperature, respiration, height and weight, and BMI.
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 Perform laboratory tests and other functions
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 Educate patients on their plan of treatment
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 Document patient's information in the EMR-medical records system (eClinicalWorks).
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 </ul>
 
 
 
 What you need to succeed
 
 
 
 
 To be a productive member of our team, you will have a pleasant and professional demeanor, be a self-starter, the ability to work independently, strong communication skills, and the ability to preserve confidentiality. You will also have the following:
 
 
 <ul>
 
 <li>
 Flexibility to rotate to different clinics
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 Experience with Pediatrics is a plus&nbsp;
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 High school diploma or equivalent
 </li>
 
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 Medical Assistant Certification
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 Excellent patient engagement and communication skills
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 Knowledge of computers and data entry with a high level of accuracy
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 Bilingual in Spanish, Burmese, Pashto, Rohingya is a plus
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 eClinicalWorks (EMR) experience preferred
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 Desire to make a positive impact
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 BLS/CPR Certification up to date
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 </ul>
 
 
 
 What We Offer
 
 
 At HHM Health, our mission starts with caring for people and that includes you. We believe that when our team feels supported, valued, and healthy, they can make the greatest impact in the communities we serve. That&rsquo;s why we invest in our employees&rsquo; well-being with free vision, dental, and life insurance, plus competitive medical premiums.&nbsp;
 
 
 
 Our full-time team members also receive a robust benefits package designed to empower you to thrive- at work, at home, and in your purpose so you can focus on what matters most: delivering compassionate, high-quality care to every patient. &nbsp;
 
 
 <ul>
 
 <li>
 Health Savings Account
 </li>
 
 <li>
 403(b) retirement savings plan with dollar-for-dollar matching up to 3% and match 50% of the next 2% (contribute 5% to get 4% matched). 100% vested upon enrollment.
 </li>
 
 <li>
 Generous paid time off plan for full-time employees (includes Sick and Volunteer Days)
 </li>
 
 <li>
 Paid Holidays
 </li>
 
 <li>
 Accidental Death &amp; Dismemberments (ADD) plan
 </li>
 
 <li>
 Short-term &amp; Long-term Disability
 </li>
 
 <li>
 Employee Assistance Programs (EAP)
 </li>
 
 <li>
 HHM CARES Fund (employee emergency relief fund)
 </li>
 
 </ul>
 
 
 
 We&rsquo;re battling the Dallas Community&rsquo;s Healthcare Crisis&nbsp;
 
 
 
 
 At HHM Health, our mission is to provide quality healthcare to all in the growing DFW Metroplex. Our vision is to be the best patient-focused health center providing holistic care. We exemplify our CARES Values (Compassion, Advocacy, Respect, Excellence, Servant Heart) to provide a positive &amp; meaningful patient experience to all in Dallas and the surrounding counties. &nbsp;
 
 
 
 To learn more about how we&rsquo;re making a difference, visit us online at:&nbsp;https://www.hhmhealth.org/&nbsp;
 
 
 
 
 Equal Opportunity Employer
 
 
 
 
 HHM Health is committed to providing equal employment opportunity to all individuals regardless of their race, color, religion, gender identity and expression, age, sexual orientation, national origin, disability, veteran status, marital status, or any other characteristic protected by federal, state or local law. HHM Health hires and promotes based solely on the qualifications of the individual and the essential functions of the job being filled.
 
 
 
 
 No third-party recruitment agencies please.
 
 
</div>

Medical Assistant

Join HHM Health and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

HHM Health

About Company

Denials & Appeals Specialist

Medical Assistant