Appeals Specialist I

ROM Technologies, Inc.; Clearwater (FL); On-site; USD 27,552 - 31,684; Full time

Job summary

ROM Technologies, Inc. in Clearwater, FL is seeking a claims processor to handle insurance appeals and billing functions in a fast-paced environment. Candidates should have proven experience in medical billing or revenue cycle management, along with excellent communication skills and the ability to manage multiple priorities.

This full-time position offers a salary range of $20.00 - $23.00 hourly and requires effective collaboration with various teams to ensure compliance with payer guidelines.

Qualifications

• Proven experience in medical billing, claims processing, or revenue cycle management.
• Deep understanding of insurance guidelines, EOBs, and appeal processes.

Responsibilities

• Review and analyze denied insurance claims.
• Prepare and submit appeals to insurance providers.
• Collaborate with billing, coding, and clinical teams.
• Monitor appeal outcomes and follow up on unresolved cases.
• Maintain accurate records of all claims and appeals activity.

Skills

Excellent written and verbal communication skills

Ability to work independently

Manage multiple priorities

Job description

Job Location: Clearwater, FL 33759. Position Type: Full Time. Education Level: None. Salary Range: $20.00 - $23.00 hourly. Travel Percentage: None. Job Shift: Day. Job Category: Accounting.

ROMTech is a medical technology company that has created and patented a revolutionary medical device and telemedical platform which delivers in-home rehabilitative care. Our disruptive technology has proven to yield faster recoveries and better outcomes with unmatched patient compliance. We began in orthopedics and have entered scale‑up of our orthopedic business. We are now leveraging our core technology, infrastructure, and first‑mover position to enter cardiology, followed by other adjacent markets. By creating this new lane, we have a unique opportunity to serve as the global leader in the business, technology, and science of recovery, and to bring life‑changing help to many millions of people.

Key Responsibilities

• Review and analyze denied insurance claims to determine appropriate appeal strategies.
• Prepare and submit appeals to insurance providers, ensuring compliance with payer guidelines and timelines.
• Collaborate with billing, coding, and clinical teams to gather necessary documentation for appeals.
• Monitor appeal outcomes and follow up on unresolved cases.
• Maintain accurate records of all claims and appeals activity in the system.
• Perform other related duties as required or requested to our financial health and patient satisfaction.

Qualifications & Skills

• Excellent written and verbal communication skills.
• Ability to work independently and manage multiple priorities in a fast‑paced environment.

Work Experience Requirements

• Proven experience in medical billing, claims processing, or revenue cycle management, preferably in a medical device or healthcare setting.
• Deep understanding of insurance guidelines, EOBs, and appeal processes.

Physical Demands and Working Conditions

• Ability to sit at a computer terminal for an extended period.
• Moderate noise (i.e., phone calls, online meetings, computer audio).
• May be regularly required to stand, sit, talk, hear, reach, stoop, kneel, and use hands and fingers to operate a computer, telephone, and keyboard.
• Specific vision abilities required by this job include close vision requirements due to computer work.
• Regular, predictable attendance is required.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Reasonable accommodation requests must be made in writing by emailing [e-mail].