Strategic Medical Billing & Appeals Specialist

Paylocity; Austin (TX); On-site; USD 45,000 - 65,000; Full time

Job summary

Advanced Pain Care in Austin, TX is seeking an Appeals Specialist to manage insurance denials by reviewing claims, posting payments, handling correspondence, and writing appeals to adjust payment amounts. You will attach documents, research payments, log and track appeals, and coordinate with patients and insurers while maintaining confidentiality.

Three+ years in medical billing/claims and experience with Athena EMR are required; high school diploma or GED; strong communication and attention to

Qualifications

• Education: High school diploma or GED.
• Experience: 3+ years in medical billing/claims.
• Experience with Athena EMR system.

Responsibilities

• Review denied/unpaid claims and prepare appeals.
• Attach documents to appeal letters and track progress.
• Post payments and handle patient billing questions.
• Communicate with insurance companies and manage AR reports.
• Adhere to privacy and security requirements.

Skills

Clear communication

Attention to detail

Time management

Customer service

Confidentiality

Education

High school diploma or GED

Tools

Athena EMR

Job description

Advanced Pain Care in Austin, TX is seeking an Appeals Specialist to manage insurance denials by reviewing claims, posting payments, handling correspondence, and writing appeals to adjust payment amounts. You will attach documents, research payments, log and track appeals, and coordinate with patients and insurers while maintaining confidentiality.

Three+ years in medical billing/claims and experience with Athena EMR are required; high school diploma or GED; strong communication and attention to