Denials and Appeals Specialist

Job Summary

Denials and Appeals Specialist, responsible for reviewing carrier denials and ensuring efficient processing of invoices in a full-time remote position.

Key Responsibilities

• Review ETM task list assignments and rebill claims as necessary
• Determine appropriate actions for denials based on carrier requirements and forward documentation as needed
• Participate in department meetings and report consistent errors affecting claims processing

Required Qualifications

• High school diploma or equivalent required
• 1+ year of medical billing experience preferred
• Knowledge of physician billing policies and procedures
• Computer literate with the ability to work in a fast-paced environment
• Excellent organizational skills and ability to work independently