Appeals Specialist: Medical Billing Denials Pro

NANA Healthcare Management, LLC; Doraville (GA); On-site; USD 23,419 - 27,552; Full time

Benefits offered by this job

Competitive hourly pay

Paid training

Performance bonus after 90 days

Health insurance after 60 days

Dental, vision, life insurance after

401(k)

Paid Time Off (PTO)

Career advancement

Stable Monday–Friday schedule

Team-oriented environment

Job summary

Mount Yonah Medical Billing is hiring an Appeals Specialist to research, prepare, and submit insurance appeals for denied or underpaid claims. This role collaborates with carriers and internal teams to maximize reimbursement while maintaining compliance with payer rules.

The ideal candidate has strong analytical and written communication skills and 1+ year of recent medical billing/appeals experience. This is an in-office full-time position in Doraville, GA.

Qualifications

• 1+ year of recent experience in medical billing, insurance appeals, denial management, or healthcare revenue cycle.
• Experience with Medicare, Medicaid, and commercial payers preferred.
• Proficiency with EHR and medical billing software.
• Ability to work full-time in our Doraville office.

Responsibilities

• Review denied and underpaid insurance claims to determine the appropriate appeal strategy.
• Prepare, submit, and track insurance appeals in accordance with payer guidelines and filing deadlines.
• Research payer policies and identify supporting documentation necessary for successful appeal submissions.
• Monitor appeal status and follow up with insurance companies to ensure timely resolution.
• Maintain accurate documentation of appeal activity within billing systems.

Skills

Medical billing

Insurance appeals

Denial management

Healthcare revenue cycle

Education

High school diploma or GED

Job description

Mount Yonah Medical Billing is hiring an Appeals Specialist to research, prepare, and submit insurance appeals for denied or underpaid claims. This role collaborates with carriers and internal teams to maximize reimbursement while maintaining compliance with payer rules.

The ideal candidate has strong analytical and written communication skills and 1+ year of recent medical billing/appeals experience. This is an in-office full-time position in Doraville, GA.