Revenue Cycle Medical Billing Appeal Specialist Commercial Payors

Med-Trans; West Plains (MO); On-site; USD 10,000 - 60,000; Full time

Job summary

An established industry player in healthcare services is seeking dedicated individuals to join their team in a role focused on medical billing and appeals. This position offers a flexible schedule after training, allowing for a balance between work and personal life. With a comprehensive benefits package and opportunities for career advancement, this role is perfect for those looking to make a positive impact in patient care. If you have a passion for helping others and possess the necessary skills, this could be the opportunity you've been waiting for.

Benefits

Comprehensive benefits package

Flexible work schedule

Paid time off

401k

Disability insurance

Health Savings Account (HSA)

Employee Assistance Program (EAP)

Qualifications

• Minimum of one year of medical billing experience required.
• Professional written and verbal communication skills are essential.

Responsibilities

• Review and classify appeals based on denial letters and payor correspondence.
• Gather and prepare documentation for appeals submission.

Skills

Fluent in English

Medical billing experience

Professional communication skills

Navigating insurance payor portals

Ability to work independently

Education

High school diploma or GED

Significant relevant work experience

Tools

Billing software

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Hourly pay of $20, with eligibility for bonuses
- Opportunity for career advancement and growth within the organization
- Flexible work schedule after training (M-F 7am-7pm CST)
- Comprehensive benefits package including medical, vision, dental, 401k, disability, FSA, HSA, EAP, vacation, and paid time off
- Supportive and collaborative work environment
- Chance to make a positive impact by assisting patients through the appeal process

What to Expect (Job Responsibilities):
- Review Explanation of Benefits, denial letters, and payor correspondence to classify the type of appeal required
- Gather, prepare, and review documentation and various forms needed to submit appeals correctly per payor guidelines
- Engage patients via phone and/or mail to obtain requested information pertaining to the appeal process
- Document the details, requirements, and deadlines of each individual appeal in billing software
- Perform timely follow-up with payors regarding the status of appeals and discuss determinations or outcomes

What is Required (Qualifications):
- Must be fluent in English
- Minimum of one (1) year of medical billing experience
- Professional written and verbal communication skills
- Knowledge of navigating insurance payor portals
- Ability to work independently with little or no direction and as a member of a team

How to Stand Out (Preferred Qualifications):
- Minimum of one (1) year working in a call center environment
- Above average knowledge of insurance billing guidelines and policies
- Experience with Commercial Insurance processes and policies
- Experience with BCBS Insurance
- High school diploma, GED, or significant relevant work experience

#HealthcareServices #MedicalBilling #CareerOpportunity #FlexibleSchedule #ComprehensiveBenefits

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