Appeals Specialist – Insurance / Revenue Cycle

@ RemX

Appeals Specialist – Insurance / Revenue Cycle

Louisville, TN
Posted 2 days ago

About the job

A results-driven healthcare organization seeking an Appeals Specialist to handle appeals, denial management and collaborate with billing, coding, and clinical teams.

Requirements

  • 2+ years of experience in medical billing
  • Knowledge of denial management and payer guidelines
  • Experience reviewing EOBs and coding
  • Strong communication skills
  • Proficiency in EMR/EHR and MS Office

Qualifications

  • Experience in appeals or insurance follow-up
  • Attention to detail and organizational skills
  • Problem-solving ability
  • Healthcare or medical billing background

Full job description

Appeals Specialist – Insurance / Revenue Cycle

Join a results-driven revenue cycle team where your expertise in appeals and denial management directly impacts reimbursement and patient accounts.


Position Highlights:

  • Prepare, submit, and track insurance appeals for denied or underpaid claims
  • Review EOBs and payer responses to identify root causes and develop effective appeal strategies
  • Draft clear, compliant appeal letters supported by medical documentation and coding
  • Monitor appeal status and follow up with payers to ensure timely resolution
  • Maintain accurate records, logs, and reporting of appeal outcomes and trends
  • Collaborate with billing, coding, and clinical teams to resolve complex cases


Requirements:

  • 2+ years of experience in medical billing, insurance follow-up, or appeals
  • Strong knowledge of denial management, payer guidelines, and appeals processes
  • Experience reviewing EOBs, medical records, and coding (ICD-10/CPT preferred)
  • Excellent written and verbal communication skills
  • High attention to detail, organization, and problem-solving ability
  • Proficiency in EMR/EHR systems and Microsoft Office


Be the voice that turns denials into approvals—apply today.


2+ years of experience in medical billing, insurance follow-up, or appeals
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