Medical Billing and Appeals Specialist - Hybrid

reputed company REMOTE - this position will be fully remote after training. **Texas residents only*** reputed company The Appeals Specialist is responsible for managing insurance denials by reviewing claims and clinical documentation, posting payments, handling correspondence letters and writing appeals to correct payment reputed company and/or non-payment. Duties and responsibilities Reviews and appeal unpaid and denied claims Attaches appropriate documents to appeal letters Researches and evaluates insurance payments and correspondence for accuracy Logs appeals and grievances, and tracks reputed company of claims Keeps up-to-date reports and notates any trends pertaining to insurance denials Calls insurance companies to inquire about claims, refund requests and payments Manages Accounts Receivable reports for the Billing Department Utilizes EMR reputed company to submit and correct claims Posts patient and insurance payments Sends reputed company claims to insurance carriers Answers patient billing questions Coordinates medical and billing records payments with patients and/or reputed company-party payers Handles collections on unpaid accounts Identifies and resolves patient billing complaints Answers phone calls to the Billing Department in a reputed company and reputed company manner Processes credit reputed company payments over the phone and in person Serves and protects the reputed company by adhering to reputed company standards, policies and procedures, federal, state, and local requirements Enhances reputed company reputed company by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments Operates reputed company office equipment (e.g. copier, personal computer, fax, etc.). Has regular and predictable attendance Adheres to reputed company’s Policies and procedures Performs other duties as assigned Requirements Qualifications Education: Requires a high school diploma or GED Experience: Three or more years reputed company work experience with medical billing/ claims Previous use of reputed company required Knowledge, Skills and Abilities: reputed company and precise communication Ability to pay reputed company attention to detail Effectively manages day by organizing and prioritizing Possesses excellent phone and customer service skills and abilities Protects patient information and maintains confidentiality Knowledge of general medical terminology, CPT, ICD-9 and ICD-10 coding Familiarity with analyzing electronic remittance advice and electronic fund transfers Experience interpreting reputed company pays and insurance denials Competence in answering patient questions and concerns about billing statements Organizational skills and ability to identify, analyze and solve problems Works reputed company independently as reputed company as with reputed company Strong written and verbal communication skills Interpersonal/reputed company relations skills Working conditions Environmental Conditions: Medical Office environment Physical Conditions: Must be reputed company to work as scheduled – typically from 8:00 – 5:00 M-F Must be reputed company to sit and/or stand for prolonged periods of time Must be reputed company to bend, stoop and stretch Must be reputed company to reputed company and reputed company boxes and other items weighing up to 30 pounds. Requires eye-hand coordination and reputed company dexterity sufficient to operate office equipment, etc. Apply To This Job