Medical Appeals Specialist

Job Summary

A company is looking for a Medical Appeals Specialist I.

Key Responsibilities

• Review denied claims and incorrect payments, initiating the appeals process for reimbursement
• Communicate with patient financial service units to ensure accurate processing of accounts
• Collaborate with appeals representatives and maintain logs of outstanding appeals

Required Qualifications

• Education: H.S. Diploma or GED
• Experience: 1-3 years in claims processing, healthcare billing, or revenue cycle management
• Preferred Education: Associate's Degree in Healthcare Administration, Business, or related field