Denials and Appeals Specialist

Job Summary

Reviewing carrier denials and ensuring efficient invoice processing, the full-time Denials and Appeals Specialist will manage assigned billing tasks and collaborate with the Accounts Receivable Team in a remote environment.

Key responsibilities

• Reviews ETM task list assignments and rebills claims as necessary
• Determines appropriate actions for denials based on carrier requirements
• Assembles documentation for senior representatives regarding carrier-related issues

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