An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.
Health CareMountain View Hospital is looking for an Insurance Denial/Appeals Specialist to join our team!
JOB SUMMARY
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.
BENEFITS
Taking care for our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages.
Benefits include:
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 Please note benefits are based on eligibility according to full-time, part-time or PRN status classification.
About Mountain View:
Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley - all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice. Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.
QualificationsEducation/Certification:
High school diploma or equivalent.
Experience:
Experience interpreting EOBs, remittance advice, and payer policies.
Equipment/Technology:
Proficiency with billing systems and electronic health records (EHR)
Language/Communication:
Strong written and verbal communication skills.
Interpersonal:
Excellent analytical, problem-solving, and organizational skills.
Qualifications:
Education/Certification:
High school diploma or equivalent.
Experience:
Experience interpreting EOBs, remittance advice, and payer policies.
Equipment/Technology:
Proficiency with billing systems and electronic health records (EHR)
Language/Communication:
Strong written and verbal communication skills.
Interpersonal:
Excellent analytical, problem-solving, and organizational skills.
