Revenue Cycle Medical Billing Appeal Specialist Commercial Payors

REACH Air Medical Services; West Plains (MO); On-site; USD 10,000 - 60,000; Full time

Job summary

An established industry player in healthcare services is seeking a motivated individual to join their revenue cycle team. This role offers flexible work hours and a supportive environment focused on teamwork and collaboration. You will have the opportunity to make a meaningful impact in the healthcare billing process, reviewing appeals and engaging with patients. If you have a passion for healthcare and a background in medical billing, this is a fantastic opportunity for career advancement within a dynamic team.

Benefits

Comprehensive Medical Benefits

Dental Insurance

Vision Insurance

401k

Paid Time Off

Flexible Work Hours

Qualifications

• Fluency in English is required.
• Minimum of one year of medical billing experience.

Responsibilities

• Review and classify appeals based on payor correspondence.
• Engage patients to gather required information for appeals.

Skills

Medical Billing Experience

Professional Communication Skills

Insurance Payor Navigation

Claim Status Verification

Tools

Billing Software

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Hourly pay of $20, with bonus eligibility
- Flexible work hours after training, Monday to Friday
- Opportunity for career advancement within the revenue cycle team
- Comprehensive benefits including medical, vision, dental, 401k, and paid time off
- Supportive work environment with a focus on teamwork and collaboration
- Opportunity to make a meaningful impact in the healthcare billing process

What to Expect (Job Responsibilities):
- Review Explanation of Benefits, denial letters, and payor correspondence to classify type of appeal required
- Gather, prepare, and review documentation needed to submit appeals per payor guidelines
- Engage patients via phone and/or mail to obtain requested information pertaining to the appeal process
- Document the details and deadlines of each appeal in billing software
- Follow up regularly with payors regarding the status of appeals and discuss 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 verify insurance claim status and complete medical records

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

#HealthcareServices #MedicalBilling #RevenueCycle #CareerOpportunity #FlexibleHours

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