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Appeals Specialist - Medical Billing & Insurance Appeals

NANA Healthcare Management, LLC

Mount Yonah Medical Billing (MYMB) is a rapidly growing third-party medical billing company specializing in behavioral healthcare, with expertise in substance use disorder and mental health billing. The company partners with treatment providers to deliver accurate, compliant, and efficient revenue cycle management services that maximize reimbursement and support quality patient care.

The Appeals Specialist plays a critical role on the Revenue Cycle Management team by researching, preparing, and submitting insurance appeals for denied or underpaid claims. This role works closely with insurance carriers and internal departments to ensure timely resolution of claim denials while maximizing reimbursement and maintaining compliance with payer regulations.

The position is based in Doraville, GA and is full-time, in office, with a Monday through Friday schedule from 8:30 AM to 5:00 PM.

Requirements & Qualifications

Minimum Qualifications

  • High school diploma or GED required
  • At least 1 year of recent experience in medical billing, insurance appeals, denial management, or healthcare revenue cycle
  • Experience with Medicare, Medicaid, and commercial insurance payers preferred
  • Knowledge of CPT, ICD-10-CM, and HCPCS coding preferred
  • Experience using electronic health record (EHR) and medical billing software
  • Ability to work full-time in the Doraville office

Preferred Systems Experience

  • CollaborateMD
  • Kipu EMR
  • Availity

Skills and Competencies

  • Strong analytical and critical thinking skills
  • Exceptional attention to detail and accuracy
  • Excellent written and verbal communication skills
  • Ability to prioritize multiple tasks and meet deadlines
  • Strong organizational and time-management skills
  • Ability to work independently and collaboratively
  • Proficiency with Microsoft Office and medical billing software
Benefits & Perks

Benefits and Perks

  • Competitive hourly pay based on experience
  • Paid training
  • Performance bonus opportunities after 90 days
  • Health insurance after 60 days
  • Dental, vision, and life insurance after 90 days
  • 401(k)
  • Paid time off (PTO)
  • Opportunities for career advancement and leadership growth
  • Stable Monday through Friday schedule with evenings and weekends off
  • Positive, team-oriented work environment

Location

Georgia, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

1 month ago

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