Appeals Representative
Virtual Vocations Inc, New York, NY, United States
A company is looking for an Appeals Representative responsible for reviewing claims denials and preparing necessary documentation for appeals.
Key Responsibilities
Reviews assigned denials to determine appropriate actions based on payer requirements Assembles and prepares required documentation for appeals in the billing system Maintains knowledge of carrier requirements for claim appeals and identifies consistent errors impacting claims processing
Required Qualifications
High school diploma or equivalent required Two years of previous medical billing experience preferred, especially in research and claim denials Knowledge of healthcare reimbursement guidelines, ICD-10 and CPT-4 coding preferred Proficient in Microsoft Office Self-motivated and well-organized
Reviews assigned denials to determine appropriate actions based on payer requirements Assembles and prepares required documentation for appeals in the billing system Maintains knowledge of carrier requirements for claim appeals and identifies consistent errors impacting claims processing
Required Qualifications
High school diploma or equivalent required Two years of previous medical billing experience preferred, especially in research and claim denials Knowledge of healthcare reimbursement guidelines, ICD-10 and CPT-4 coding preferred Proficient in Microsoft Office Self-motivated and well-organized