Medical Billing and Appeals Specialist - Remote

Overview

The Medical Billing and Appeals Specialist is responsible for managing insurance denials by reviewing claims and clinical documentation, posting payments, and writing appeals to correct payment amounts or non-payments. This position is fully remote after training and is limited to Texas residents.

In Short

• Manage insurance denials and appeals.
• Review unpaid and denied claims.
• Research insurance payments for accuracy.
• Log appeals and track claims progress.
• Handle patient billing inquiries.
• Utilize EMR systems for claims submission.
• Coordinate payments with patients and third-party payers.
• Maintain confidentiality of patient information.
• Adhere to professional standards and regulations.
• Work independently and as part of a team.

Requirements

• High school diploma or GED required.
• Three or more years of related work experience.
• Strong communication skills.
• Attention to detail and organizational skills.
• Knowledge of medical terminology and coding.
• Experience with insurance denials and billing.
• Ability to handle customer service inquiries.
• Proficient in problem-solving and analysis.
• Strong written and verbal communication abilities.
• Interpersonal skills for human relations.

Benefits

• Work from home flexibility.
• Opportunity for professional growth.
• Supportive work environment.
• Health and wellness benefits.
• Competitive salary and compensation.