Pride Health · 4 hours ago
Denial Prevention Specialist
Weatherford, TX
Contract
Hybrid
Entry, Mid Level
$18/hr - $20/hr
2+ years expPride Health is seeking a Denial Prevention Specialist for one of its clients in Texas. The successful candidate will review, research, and resolve claim denials and appeals for various insurance companies while identifying payment trends to maximize collections.
Health CareHuman ResourcesInformation Technology
Hiring Manager
Mahendra Borana
Responsibilities
Analyze payer denials by denial groupers and submit appeals
Contact patients and/or third-party payers to resolve outstanding insurance balances and underpaid claims
Make necessary adjustments as required by plan reimbursement
Functions as a liaison between clinical departments and the MSRDP management team
Completes special projects as assigned
Performs other duties as assigned
Qualification
Required
High School Diploma or GED
2 years of experience in medical claims recovery and/or collections required
Work requires a self-starter with the ability to work well as part of a team and independently
Work requires the ability to communicate effectively with patients, insurance companies, clinical staff, and management
Work requires the ability to handle large volumes of work
Work requires the ability to work in a fast-paced, production-oriented environment
Work requires excellent customer service skills
Work requires experience in Medical Billing
Preferred
Associate's Degree preferred
Benefits
Comprehensive healthcare coverage (medical, dental, and vision plans)
Supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity)
401(k) retirement savings
Life & disability insurance
An employee assistance program
Legal support
Auto and home insurance
Pet insurance
Employee discounts with preferred vendors
Company
Pride Health
Pride Health is a staffing and recruiting company that provides account management and staffing solutions.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Stephanie Barnes
Scheduling Lead PHC/OPWDD
Recent News
2025-11-06
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