Billing Appeals Specialist

Job Summary

A company is looking for a Billing Appeals Specialist.

Key Responsibilities

• Manage end-to-end billing appeal cases, ensuring compliance with established guidelines and timelines
• Analyze claims, coding, contracts, and regulatory requirements to develop appeal recommendations
• Collaborate with internal teams to resolve complex appeal matters and maintain accurate documentation

Required Qualifications

• Experience in handling complex billing, claims, or appeals work in a healthcare or insurance environment
• Strong knowledge of medical terminology, coding standards, and reimbursement processes
• Proven ability to prioritize caseloads and meet strict quality and timeliness standards
• High level of professionalism and discretion in all interactions
• Ability to adapt quickly to shifting demands