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Medical Billing Revenue Cycle Appeal Specialist Commercial Payors

7 days ago

Pay$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

      #MedicalBilling #RevenueCycleManagement #HealthcareCareers #RemoteWork #InsuranceClaims

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  • About the company

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