Remote AR Appeals Specialist — Denials & Reconsiderations

US Eye; Florida; Hybride; USD 52 000 - 68 000; Plein temps

Résumé du poste

US Eye is seeking an Accounts Receivable Appeals Specialist to manage denied insurance claims, prepare reconsiderations and appeals, and ensure accurate reimbursement for healthcare services. The role requires strong analytical skills, experience in medical billing and coding, and familiarity with payer policies.

Key duties include analyzing denials, preparing appeals, reviewing contracts and records to support arguments, and collaborating with management to address coding issues.

Qualifications

• High school diploma or GED required.
• Experience in healthcare billing preferred.
• Certification as a Procedural Coder (CPC) preferred.

Responsabilités

• Analyze denied claims to determine denial reasons.
• Prepare and submit written appeals to insurance carriers.
• Review coding, contracts, and medical records to support appeals.
• Track and follow up on reconsiderations within standard billing cycles.

Connaissances

Healthcare billing

Denial management

Medical coding

Payer policies

Data analysis

Formation

HS Diploma

CPC Certification

Description du poste

US Eye is seeking an Accounts Receivable Appeals Specialist to manage denied insurance claims, prepare reconsiderations and appeals, and ensure accurate reimbursement for healthcare services. The role requires strong analytical skills, experience in medical billing and coding, and familiarity with payer policies.

Key duties include analyzing denials, preparing appeals, reviewing contracts and records to support arguments, and collaborating with management to address coding issues.