Appeals Specialist II - Remote

Overview

The Appeals Specialist II role at Solventum focuses on evaluating denied Medicare primary insurance claims and appealing them through various processes, ensuring compliance with State and Federal laws.

In Short

• Evaluate denied Medicare claims in a timely manner.
• Appeal denied claims through Redetermination, Reconsideration, or Administrative Law Judge process.
• Investigate and analyze patient charts.
• Research and summarize findings in medical records.
• Communicate issues and trends to management.
• Work effectively both independently and in a team.
• Meet deadlines and maintain production quality.
• Proficient in Microsoft Office.
• 5 years of experience in medical billing or collections.
• High School Diploma/GED required.

Requirements

• High School Diploma/GED.
• 5 years of experience in medical billing or collections.
• Proficient communication and data entry skills.
• Experience with medical records.
• Ability to work independently and as part of a team.
• Excellent accounting skills.
• Ability to communicate proficiently with customers.
• Ability to meet deadlines.
• Proficient in Microsoft Office.

Benefits

• Competitive pay and benefits.
• Medical, Dental & Vision insurance.
• Health Savings Accounts.
• Flexible Spending Accounts.
• Disability Benefits.
• Life Insurance.
• Paid Absences.
• Retirement Benefits.