Medical Claims & Appeals Specialist

Wollborg Michelson Recruiting; Little Rock (AR); On-site; USD 42,000 - 64,000; Full time

Job summary

Wollborg Michelson Recruiting is seeking a detail-oriented professional to support the coordination of legal appeals and complaints. The role involves preparing reports, researching, gathering documentation, and handling inquiries for professional staff.

Responsibilities include processing medical claims and denials, coordinating appeal activities, and maintaining accurate, confidential records while communicating with providers and internal teams.

Qualifications

• High school diploma or equivalent is required.
• At least three years of experience in claims processing, claims research, or customer service.
• Familiarity with CPT and ICD-10 coding.
• Knowledge of medical terminology; healthcare experience is preferred.
• Strong verbal and written communication skills.

Responsibilities

• Process and research medical claims, appeals, and complaints.
• Conduct intake and gather claims related to denials.
• Collect, review, and organize supporting documentation.
• Prepare reports and coordinate appeal-related activities.
• Respond to inquiries regarding appeal status.
• Communicate professionally with providers and internal staff.
• Maintain confidentiality and ensure accurate records.

Skills

Microsoft Office Suite

Medical claims processing

Research and document management

Professional phone communication

Interpersonal communication

Multitasking and organization

Attention to detail

Problem-solving

Professional judgment

Confidentiality

Education

High school diploma or equivalent

Job description

Wollborg Michelson Recruiting is seeking a detail-oriented professional to support the coordination of legal appeals and complaints. The role involves preparing reports, researching, gathering documentation, and handling inquiries for professional staff.

Responsibilities include processing medical claims and denials, coordinating appeal activities, and maintaining accurate, confidential records while communicating with providers and internal teams.