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Medical Billing Revenue Cycle Appeal Specialist Commercial Payors
7 days agoPay$20.00 / hour
LocationWest Plains/Missouri
Employment typeFull-Time
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Job Description
- Req#: 48643
Employer Industry: Medical Billing and Revenue Cycle Management
Why consider this job opportunity:
- Hourly pay of $20 with eligibility for bonuses
- Opportunity for career advancement within a leading organization in the medical services industry
- Flexible work schedule after training, with hours from Monday to Friday, 7 AM to 7 PM CST
- Comprehensive benefits package including medical, vision, dental, 401k, and paid time off
- Work remotely or on-site, providing flexibility in your work environment
- Engage in meaningful work that supports patient care and financial processes in healthcare
What to Expect (Job Responsibilities):
- Review Explanation of Benefits, denial letters, and payor correspondence to classify the type of appeal required
- Gather, prepare, and review documentation needed to submit appeals according to payor guidelines
- Engage with patients via phone and/or mail to obtain necessary information for the appeal process
- Document details, requirements, and deadlines of each appeal in billing software
- Conduct timely follow-ups 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 work independently and collaboratively as part of a team
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
- High school diploma or GED, or significant relevant work experience
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