Central Appeals Support Specialist

Job Summary

A company is looking for a Central Appeals Support Specialist to manage and support the behavioral health appeals process.

Key Responsibilities

• Track and follow up on behavioral health appeals submitted to insurance companies, resolving claim and appeal issues effectively
• Refile denied or incorrectly processed claims in a timely and accurate manner
• Analyze Explanation of Benefits (EOBs), denial codes, and remittance advice to determine appeal strategy

Required Qualifications

• High School degree required; Vocational/Technical School Graduate preferred
• 1-3 years related experience required; 3-5 years preferred
• Medical/Coding certification preferred
• Knowledge of CPT/ICD-10 coding and insurance billing guidelines
• Experience working with electronic health records (EHR) systems