Medical Claims Appeals Specialist 3069904 I.Html

To enhance revenues for providers, the full-time Medical Claims Appeals Specialist will resolve insurance claim denials by generating effective written appeals and managing complicated denied claims in a remote work environment.

##### Key responsibilities

Appeal denials through coding, contract, and medical record reviews, along with carrier interactions

Analyze denial trends and patterns to proactively address recurring issues

Serve as an escalation point for unresolved denial issues and assist in training new employees

##### Required qualifications

3-5 years of experience in medical practice billing with a focus on denials and appeals

Bachelor's degree in a related field is strongly preferred

ICD-10 and CPT coding assessment skills; CPC certification is preferred

Intermediate PC software experience required

Solid understanding of claims denial appeal logic and contract language application