Remote / Work-From-Home - Medical Billing - Commercial Appeal Specialist ($20.00 / Hour)

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Medical Billing­ – Commercial Appeal Specialist

Remote / Work-From-Home

Starting Pay: $20.00 / hour

Job Summary

The Commercial Appeal Specialist supports the functions of the Revenue Cycle Appeal team by assisting in the review of denied and underpaid claims for the formal appeal and dispute process with the payor. Responsibilities include, but are not limited to: Classification of appeals, research of accounts, preparing documents, obtaining appeal status, and review of appeal determinations.

Essential Functions/Duties

• Document the details, requirements, and deadlines of each individual appeal in billing software.
• Ability to identify payor issues within the appeal process and discuss potential improvements and workflow solutions with leadership.
• Gather, prepare, and review documentation & various forms needed to submit appeals correctly per payor guidelines.
• Use reports to manage daily workflow and ensure accounts are processed within required timeframes.
• Review Explanation of Benefits, denial letters and payor correspondence to classify type of appeal required.
• Timely and regular follow-up with payors regarding status of appeals.
• Additional duties as assigned.
• Engage patients via phone and/or mail to obtain requested information pertaining to the appeal process.

Qualifications

Required Experience

• Professional written and verbal communication skills
• Knowledge and experience of computers and related technology
• Minimum of one (1) year of advanced medical billing experience
• Ability to work independently with little or no direction and as a member of a team
• Must be fluent in English

Required Education

• High School diploma or equivalent

Preferred (Not Required) Experience

• Experience with Commercial Insurance appeal and reconsideration processes
• Above average knowledge of insurance billing guidelines and policies
• Minimum of one (1) year working in a call center environment

Skills

• Knowledge of health care billing procedures, reimbursement, third party payer regulations, documentation, and standards
• Understanding and interpretation of Explanation of Benefits (EOB) from payors
• Responsiveness and a strong commitment to meeting internal and external deadlines with limited supervision
• Excellent internal and external customer service skills
• Strong problem-solving skills, attention to detail, and ability to make timely decisions

Working Conditions and Mental Demands

• Work in a team environment
• May be required to sit for long periods of time
• Utilize various software programs

Why Choose Air Evac Lifeteam?

• Air Evac Lifeteam is one of GMR's family of solutions as a leader in helicopter air ambulance services.
• Www.AtaMomentsNotice.com provides a resource for candidates to view the stories on how our employees provide care to the world. Learn how our values are at the core of our services and vital to how we approach care and check out our comprehensive benefit options at
• Global Medical Response's (GMR) teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services.