Medical Billing Appeals Pro - Stable Day Shift & Benefits

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

Benefits offered by this job

Health insurance after 60 days

Dental, vision, and life insuranceหลัง

401(k)

Paid Time Off (PTO)

Paid Training

Performance bonus opportunities after

Job summary

Mount Yonah Medical Billing in Doraville, GA seeks an Appeals Specialist to join our office-based Revenue Cycle team. You will research, prepare, and submit insurance appeals for denied or underpaid claims, coordinating with carriers and internal departments to maximize reimbursement and stay compliant with payer rules.

The ideal candidate has 1+ year in medical billing or revenue cycle, strong analytical and communication skills, and meticulous attention to detail.

Qualifications

• High school diploma or GED required.
• Minimum of one year of recent experience in medical billing, insurance appeals, denial management, or healthcare revenue cycle.
• Experience with Medicare, Medicaid, and commercial payers preferred.
• Knowledge of CPT, ICD-10-CM, and HCPCS coding preferred.
• Experience using electronic health record (EHR) and medical billing software.

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.
• Work closely with billing staff and clinical teams to obtain required medical documentation.
• Monitor appeal status and follow up with insurance companies to ensure timely resolution.
• Maintain accurate documentation of appeal activity within billing systems.
• Identify denial trends and communicate findings to leadership to improve reimbursement outcomes.
• Ensure compliance with HIPAA, payer regulations, and company policies.
• Assist with additional revenue cycle projects as assigned.

Skills

Analytical thinking

Written communication

Verbal communication

Attention to detail

Organization

Independent work

Education

High school diploma or GED

Tools

Electronic Health Records (EHR)

Medical billing software

Availity

CollaborateMD

Kipu EMR

Job description

Mount Yonah Medical Billing in Doraville, GA seeks an Appeals Specialist to join our office-based Revenue Cycle team. You will research, prepare, and submit insurance appeals for denied or underpaid claims, coordinating with carriers and internal departments to maximize reimbursement and stay compliant with payer rules.

The ideal candidate has 1+ year in medical billing or revenue cycle, strong analytical and communication skills, and meticulous attention to detail.