Remote Medical Appeals Specialist

Freddie Mac; Fort Smith (AR); Remote; USD 40,000 - 55,000; Full time

Job summary

Freddie Mac offers a vital role in healthcare services focusing on claims processing and reimbursement management. You will engage with various departments while handling denied claims and collaborating with appeals representatives in a supportive and flexible work environment, with ample opportunities for advancement within the organization.

Benefits

Flexible remote work option

Career advancement opportunities

Collaborative work environment

Qualifications

• 1-3 years of experience in claims processing or healthcare billing.
• Basic knowledge of medical billing and coding.
• Detail-oriented and strong time management skills.

Responsibilities

• Review denied claims and initiate appeals for reimbursement.
• Collaborate with patient financial services for accurate processing.
• Maintain logs and reports of outstanding appeals.

Skills

Communication

Attention to Detail

Organizational Skills

Education

High School Diploma or GED

Associate Degree in Healthcare Administration or related field

Tools

Healthcare Billing Software

Google Suite

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Flexible remote work option available
- Collaborative and supportive work environment
- Chance to make a significant impact on claim management and reimbursement processes
- Engaging role that involves communication with various departments and insurance carriers

What to Expect (Job Responsibilities):
- Review denied claims and initiate the appeals process to secure appropriate reimbursement from insurance carriers
- Communicate with patient financial service units to ensure accurate account processing
- Collaborate with appeals representatives to manage workload and meet departmental demands
- Research and resolve claim discrepancies, including underpayments and incorrect denials
- Maintain accurate logs and reports of outstanding appeals, updating leadership on claim status

What is Required (Qualifications):
- High School Diploma or GED required
- 1-3 years of experience in claims processing, healthcare billing, or revenue cycle management required
- Basic knowledge of medical billing, coding systems, and insurance claim processes
- Strong communication skills for effective interaction with various stakeholders
- Detail-oriented with strong organizational and time management skills

How to Stand Out (Preferred Qualifications):
- Associate Degree in Healthcare Administration, Business, or a related field preferred
- Proficiency in using healthcare billing software and Google Suite

#HealthcareServices #ClaimsProcessing #RemoteWork #CareerOpportunity #BillingAndCoding

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