Appeals Representative 3053763 I.Html

Reviewing assigned denials, the full-time Appeals Representative will ensure claims are processed correctly and efficiently while working remotely.

##### Key responsibilities

• Review assigned denials to determine appropriate actions based on payer requirements
• Assemble and prepare required documentation for appeals in the billing system
• Maintain knowledge of carrier requirements for claim appeals and report consistent errors impacting claims processing

##### Required qualifications

• High school diploma or equivalent required
• Two years of previous medical billing experience preferred, with an emphasis on research and claim denials
• Knowledge of healthcare reimbursement guidelines, ICD-10, and CPT-4 coding preferred
• Proficiency in Microsoft Office
• Self-motivated with strong organizational skills