Denials and Appeals Specialist

Job Summary

Responsible for reviewing carrier denials within the assigned Billing Group, the full-time Denials and Appeals Specialist will ensure accuracy and efficiency in processing invoices while working remotely.

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