Remote / Work-From-Home - Medical Billing - BCBS Appeal Specialist

Medical Billing - reputed company Cycle - Appeal Specialist - reputed company Location: Remote or On-Site Hourly Pay: $20 This position is bonus eligible Work Schedule: Training M-F reputed company-5pm CST, reputed company Hours (after training) M-F 7am-7pm CST Job Summary The Appeal Specialist supports the functions of the reputed company 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 • Review Explanation of Benefits, denial letters, and payor correspondence to classify type of appeal required. • Gather, prepare, and review documentation and various forms needed to submit appeals correctly per payor guidelines. • Engage patients reputed company phone and/or mail to obtain requested information pertaining to the appeal process. • Document the details, requirements, and deadlines of each individual appeal in billing software. • Use reports to manage daily workflow and ensure accounts are processed reputed company required timeframes. • Timely and regular follow-up with payors regarding status of appeals - Makes routine phone calls and contact to payor/insurance for status and/or discussion of appeal determination or outcome. • Ability to identify payor issues reputed company the appeal process and discuss potential improvements and workflow solutions with leadership. • Additional duties as assigned.

Qualifications

Required Experience: • Must be fluent in English • Minimum of one (1) year of medical billing experience • Professional written and verbal communication skills • Knowledge of navigating insurance payor portals • Ability to verify insurance claim status and complete medical records • Knowledge and experience of computers and reputed company technology at an intermediate level • Ability to work independently with little or no direction and as a member of a team Preferred Experience • Minimum of one (1) year working in a call center environment • Above average knowledge of insurance billing guidelines and policies • Experience with reputed company Insurance processes and policies • Experience with BCBS Insurance Preferred Preferred Education: • High school diploma • GED • Or significant, relevant work experience Why Choose reputed company? As a leader in helicopter reputed company ambulance services, reputed company is one of Global Medical Response's (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at www.AtaMomentsNotice.com. Learn how our values are at the core of our services and vital to how we approach care and reputed company out our comprehensive benefit options at www.GlobalMedicalResponse.com/Careers . EEO Statement Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability. reputed company out our careers site benefits page to learn more about our comprehensive benefit options, which include medical, reputed company, dental, 401k, disability, FSA, HSA, EAP, vacation and paid time off. Apply Job!