Medicare Billing Appeal Specialist

Job Summary

Working remotely or onsite in West Plains, Missouri, the full-time Revenue Cycle Medical Billing Appeal Medicare Follow-Up Specialist will manage follow-ups on appeal statuses with Medicare and Medicare Advantage plans to maximize reimbursements on underpaid claims.

Key responsibilities

• Conduct online and phone follow-ups on pending appeal responses
• Process all payer responses received from submitted appeals
• Document all account activity accurately and timely for patient accounts

Required qualifications

• Minimum three (3) years of experience in a healthcare/revenue cycle billing environment
• Above average knowledge of CMS guidelines
• Ability to interpret remittance advice notices/explanation of benefits
• Minimum of one (1) year in a call center environment
• Fluency in English