Revenue Cycle Appeals Specialist

Job Summary

A company is looking for a Revenue Cycle Associate.

Key Responsibilities

• Investigates and examines denial accounts to resolve issues
• Works with third-party payers to address unpaid claims and medical necessity
• Maintains compliance with HIPAA and confidentiality requirements

Required Qualifications

• Minimum of two years of experience in health insurance, health claims billing, or third-party contracts
• Extensive knowledge of charge master, ICD-9 coding, CPT coding, and EDI billing
• Familiarity with state and federal laws related to reimbursement
• Ability to work effectively in a team setting
• Experience in research analysis and troubleshooting within the assigned specialization group