Appeals Representative

A company is looking for an Appeals Representative responsible for reviewing carrier denials and submitting appeals in a remote setting.

Key Responsibilities

Review ETM task list assignments and process claims as necessary

Determine appropriate actions for denials based on carrier requirements and obtain status through carrier contact

Identify trends in claims and participate in department meetings to improve processes

Required Qualifications

One year of medical billing experience

Knowledge of physician billing policies and procedures

High school diploma or equivalent

Computer literate with the ability to work independently

Excellent organizational skills and ability to work in a fast-paced environment