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Performance Therapeutics

Claim Denials Specialist

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Job Description

Why Us? At Performance Therapeutics, we believe great patient care is supported by strong, dedicated teams behind the scenes. We are committed to integrity, teamwork, and excellence, creating a positive and supportive workplace where every role matters. Your work in medical billing directly supports our mission to help patients restore comfort, mobility, and quality of life through personalized, evidence-based care. Where Is It Located? The position is at our corporate location in McAllen, TX.
What We Are Looking For:
We are seeking an individual with experience in medical billing and insurance claims. About the
Role:
Claims Denials Specialist Reviews, investigates and resolves denied or underpaid insurance claims Analyze Explanation of Benefits (EOB's), Electronic Remittance Advice (ERAs), and payer correspondence to determine the cause of claim denials. Prepares, submits, and tracks reconsiderations and appeals with supporting documentation. Verifies patient insurance eligibility, authorization requirements and payer-specific billing guidelines to prevent future denials. Corrects coding, modifier, diagnosis and billing errors and resubmit claims accurately and timely. Communicates with insurance carriers regarding claim status and payment issues. Maintains documentation of all follow-ups, appeals, and claims resolutions in billing system. Identifies denial trends and recommends process improvements to reduce future denials and increase reimbursement. Stays current on changes in insurance regulations, payer policies and physical therapy billing requirements. Follow HIPAA regulations and company billing policies the Claim Denials Specialist will be responsible for posting payments for all company locations.
Job Type:
Full-time Pay:
From $10.00 per hour
Benefits:
401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance
Education:
High school or equivalent (Preferred)
Experience:
Medical billing: 1 year (Preferred)
Language:
Spanish (Preferred)
License/Certification:
Medical Billing Certification (Preferred)
Work Location:
In person

Benefits

  • Paid Time Off (PTO)
  • 401(k) Plans
  • Health Insurance
  • Dental Insurance