Revenue Cycle Medical Billing Appeal Specialist Commercial Payors

Air Evac Lifeteam; West Plains (MO); Remote; USD 10,000 - 60,000; Full time

Job summary

Join a forward-thinking company as a Revenue Cycle Medical Billing Appeal Specialist, where you will play a vital role in supporting the Revenue Cycle Appeal team. This position involves reviewing denied claims, preparing documentation, and engaging with patients to ensure successful appeals. With flexible hours and the option to work remotely or on-site, you’ll be part of a compassionate team dedicated to delivering quality care in emergency services. If you have a passion for medical billing and a desire to make a difference, this opportunity is perfect for you.

Qualifications

• 1+ years of medical billing experience required.
• Strong written and verbal communication skills are essential.

Responsibilities

• Review denied claims and prepare documentation for appeals.
• Engage with patients to gather information related to appeals.

Skills

Medical Billing Experience

Communication Skills

Insurance Payor Navigation

Computer Skills

Education

High School Diploma or GED

Job description

Revenue Cycle Medical Billing Appeal Specialist Commercial Payors

Join us as a Revenue Cycle Medical Billing Appeal Specialist for Commercial Payors at Air Evac Lifeteam.

Position Overview

Location: Remote or On-Site
Hourly Pay: $20
Bonus Eligible: Yes
Work Schedule: Training M-F 8am-5pm CST; Flex Hours after training M-F 7am-7pm CST

Job Summary

The Appeal Specialist supports the Revenue Cycle Appeal team by reviewing denied and underpaid claims for the formal appeal process. Responsibilities include classifying appeals, researching accounts, preparing documentation, obtaining appeal status, and reviewing appeal outcomes.

Essential Functions

1. Review Explanation of Benefits, denial letters, and payor correspondence to determine the type of appeal needed.
2. Gather, prepare, and review documentation to submit appeals according to payor guidelines.
3. Engage with patients via phone and mail to obtain information related to the appeal.
4. Document appeal details, requirements, and deadlines in billing software.
5. Manage workflow using reports to ensure timely processing of accounts.
6. Follow up regularly with payors regarding the status of appeals.
7. Identify payor issues and discuss workflow improvements with leadership.
8. Perform additional duties as assigned.

Qualifications

Required Experience

• Fluent in English
• At least 1 year of medical billing experience
• Strong written and verbal communication skills
• Experience navigating insurance payor portals
• Ability to verify insurance claim status and manage medical records
• Intermediate computer skills
• Ability to work independently and as part of a team

Preferred Experience

• At least 1 year in a call center environment
• Knowledge of insurance billing guidelines and policies
• Experience with Commercial Insurance and BCBS

Education

• High school diploma, GED, or relevant work experience

Why Choose Air Evac Lifeteam?

As a leader in helicopter air ambulance services, we deliver compassionate, quality care in emergency and patient relocation services. Learn more about our values and benefits at www.AtaMomentsNotice.com and www.GlobalMedicalResponse.com/Careers.

EEO Statement

We are an Equal Opportunity Employer supporting veterans and providing accommodations for individuals with disabilities.