Insurance Appeals Specialist

Job Summary

A company is looking for an Appeals Specialist responsible for managing insurance claim appeals related to molecular and genetic testing services.

Key Responsibilities

• Review denied claims and develop appeal strategies, preparing and submitting necessary documentation
• Track appeal status, maintain records, and follow up with insurance companies
• Stay updated on payer policies and ensure compliance with HIPAA and regulatory standards

Required Qualifications

• High school diploma required
• 2 years of experience in insurance appeals, medical billing, or revenue cycle operations
• Strong understanding of insurance processes and denial management
• Proficiency in billing systems and Microsoft Office Suite
• Ability to work independently and manage multiple priorities