BUSINESS OFFICE - INSURANCE DENIAL/APPEALS SPECIALIST

Job DetailsJob Location: Energy Plaza - Idaho Falls, ID 83401Position Type: Full TimeEducation Level: High SchoolTravel Percentage: NoneJob Shift: AnyJob Category: 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.