Remote Medical Appeals Specialist

Job Summary

A company is looking for a Remote Medical Appeals Specialist who will manage the appeal process for denied insurance claims.

Key Responsibilities

• Review denied claims and initiate the appeals process to secure reimbursement
• Collaborate with financial service units and appeals representatives to resolve discrepancies
• Maintain accurate logs and reports of outstanding appeals and provide updates to leadership

Required Qualifications

• H.S. Diploma or GED required
• Associate Degree in Healthcare Administration, Business, or a related field preferred
• 1-3 years of experience in claims processing, healthcare billing, or revenue cycle management required