Appeals Representative

Job Summary

Reviewing insurance claim denials, the full-time Appeals Representative will manage the appeals process to ensure accurate reimbursement while working remotely in a collaborative environment.

Key Responsibilities

• Review denied claims and determine the appropriate appeal or rebill action based on payer requirements
• Prepare and submit appeals, ensuring all required documentation is included
• Follow up with insurance carriers to obtain claim status and resolve outstanding issues

Required Qualifications

• High school diploma or equivalent required
• 1+ year of medical billing experience preferred
• Knowledge of physician billing policies and procedures
• Proficiency with Microsoft Office applications
• Strong computer and data entry skills