Denials and Appeals Specialist

Job Summary

Denials and Appeals Specialist is a full-time remote position responsible for reviewing carrier denials, maintaining accuracy in invoice processing, and ensuring compliance with billing requirements.

Key Responsibilities

• Review ETM task list assignments and rebill claims as necessary
• Determine appropriate actions for denials based on carrier requirements and assemble documentation for senior representatives
• 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
• Ability to work independently in a fast-paced environment