Appeals Representative

A company is looking for an Appeals Representative to manage payment denials and appeals in a remote setting. Key Responsibilities Monitor and review payment denials and process claims within assigned time frames Utilize research tools to expedite resolution of issues and assemble documentation for appeals Contact carriers regarding denied claims and report consistent errors affecting claims processing Required Qualifications High school diploma or equivalent required Previous medical billing experience preferred, focusing on denial research and appeal processing Knowledge of Physician Billing Policies and Procedures across multiple states Good computer skills with proficiency in Microsoft Outlook, Excel, Word, and GE Centricity Business/ETM Ability to meet deadlines and work independently, including potential overtime

Apr 28, 2025 - 16:40
 0
Appeals Representative
A company is looking for an Appeals Representative to manage payment denials and appeals in a remote setting. Key Responsibilities Monitor and review payment denials and process claims within assigned time frames Utilize research tools to expedite resolution of issues and assemble documentation for appeals Contact carriers regarding denied claims and report consistent errors affecting claims processing Required Qualifications High school diploma or equivalent required Previous medical billing experience preferred, focusing on denial research and appeal processing Knowledge of Physician Billing Policies and Procedures across multiple states Good computer skills with proficiency in Microsoft Outlook, Excel, Word, and GE Centricity Business/ETM Ability to meet deadlines and work independently, including potential overtime