Job Opening: Appeals Representative

Medical Billing Appeals Representative

📍 Office-Based Role | Full-Time

Are you detail-driven with a passion for solving complex billing issues? Join our team as a Medical Billing Appeals Representative, where you’ll play a key role in ensuring accurate claim processing and maximizing revenue recovery.

What You’ll Do

• Review and analyze denied claims to determine next steps based on payer requirements
• Prepare and submit appeal documentation for disputed claims
• Ensure compliance with payer guidelines and billing procedures
• Identify trends and report recurring claim issues
• Collaborate with internal teams to improve claim accuracy and efficiency

What We’re Looking For

• High school diploma or equivalent required
• 2+ years of medical billing experience (AR/denials preferred)
• Knowledge of ICD-10, CPT coding, and healthcare reimbursement processes
• Strong attention to detail and excellent follow-up skills
• Proficiency in Microsoft Office and billing systems
• Self-motivated with strong communication skills

Why Join Us?

• Modern, professional office environment
• Opportunity to grow your expertise in healthcare revenue cycle
• Collaborative and supportive team