Medical Appeals Specialist — Denials & Claims Support

Staffmark Group; Knoxville (TN); Presencial; USD 21 000 - 28 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Weekly pay

Benefits package

401(k) plan

Life insurance

Professional environment

Resumo da oferta

Staffmark Group is hiring an Appeals Representative in Knoxville, TN. The role focuses on reviewing denied claims, preparing appeals with supporting documentation, and tracking outstanding claims in a professional office environment.

Required: high school diploma or GED, with 2+ years in medical billing preferred and knowledge of ICD-10, CPT-4, and healthcare reimbursement guidelines. Schedule is Monday–Friday, 8:00 AM–5:00 PM; pay rate is $17.28 per hour.

Qualificações

• High school diploma or GED required.
• Associate degree, business coursework, or administrative support training preferred.
• 2+ years of medical billing experience preferred.
• Experience researching claim denials and Accounts Receivable preferred.
• Knowledge of healthcare reimbursement guidelines, ICD-10, CPT-4 coding, and appeals processes preferred.
• Proficient in Microsoft Office.

Responsabilidades

• Review denied claims and determine appropriate next steps based on payer requirements.
• Prepare and submit appeals with supporting documentation.
• Maintain knowledge of insurance carrier appeal guidelines.
• Track and follow up on outstanding claims.
• Identify recurring claim issues and report processing errors.
• Perform additional duties as assigned.

Conhecimentos

Organizational skills

Medical billing

MS Office

Communication

Formação académica

High school diploma or GED

Associate degree or admin training

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Staffmark Group is hiring an Appeals Representative in Knoxville, TN. The role focuses on reviewing denied claims, preparing appeals with supporting documentation, and tracking outstanding claims in a professional office environment.

Required: high school diploma or GED, with 2+ years in medical billing preferred and knowledge of ICD-10, CPT-4, and healthcare reimbursement guidelines. Schedule is Monday–Friday, 8:00 AM–5:00 PM; pay rate is $17.28 per hour.