Initiates the appeal process at the direction of Revenue Cycle management until the case is overturned, appeal options are exhausted, or the process is discontinued.
This role is responsible for coordinating and appealing technical denials and working closely with Clinical Appeals Specialists on clinical appeals.
Key responsibilities include reviewing denied claims, preparing appeal letters, tracking denial and appeal outcomes, following up on appealed claims, working with insurance carriers, ensuring clinical appeals are routed appropriately, monitoring reimbursement accuracy based on payer contracts, and documenting all activity in the Revenue Cycle system.
Education:
- High school diploma or GED required
Experience:
- 1-3 years of prior billing, collections, or appeals experience
Skills and abilities:
- Knowledge of medical terminology
- Clear and concise written communication skills
- Ability to develop professional appeal letters
- Basic Microsoft Office knowledge
- Ability to manage projects from start to finish
Location
Louisville, Kentucky, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago