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https://commercialappeal.com
Commercial Appeal
Most recent job postings at Commercial Appeal
via Chegg Internships
posted_at: 25 days agoschedule_type: Full-time
Job Summary
First Job
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Previous Job
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Position range in Missouri
$29k - $45k
Per year
Remote / Work-From-Home - Medical Billing - Commercial Appeal Specialist
American Medical Response
Occupation: Bill and Account Collectors
Location: West Plains, MO - 65775
Positions available: 1
Job #: 13346290
Work At Home option: Yes
Updated: 3/6/2023
Expires: 6/4/2023
Source: MoJobs
Site: MoJobs
Agency Job ID: 72629571
Job Requirements
12
Job
Job Summary
First Job
...
Previous Job
57 of 10000
Next Job
Last Job
Position range in Missouri
$29k - $45k
Per year
Remote / Work-From-Home - Medical Billing - Commercial Appeal Specialist
American Medical Response
Occupation: Bill and Account Collectors
Location: West Plains, MO - 65775
Positions available: 1
Job #: 13346290
Work At Home option: Yes
Updated: 3/6/2023
Expires: 6/4/2023
Source: MoJobs
Site: MoJobs
Agency Job ID: 72629571
Job Requirements
12
Job Properties
Job Description
Job Description
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
Review Explanation of Benefits, denial letters and payor correspondence to classify type of appeal required.
Gather, prepare, and review documentation & various forms needed to submit appeals correctly per payor guidelines.
Engage patients via 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 within required timeframes.
Timely and regular follow-up with payors regarding status of appeals.
Ability to identify payor issues within 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 advanced medical billing experience
Professional written and verbal communication skills
Knowledge and experience of computers and related technology
Ability to work independently with little or no direction and as a member of a team
Required Education
High School diploma or equivalent
Preferred (Not Required) Experience
Minimum of one (1) year working in a call center environment
Above average knowledge of insurance billing guidelines and policies
Experience with Commercial Insurance appeal and reconsideration processes
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
Strong problem-solving skills, attention to detail, and ability to make timely decisions
Excellent internal and external customer service skills
Responsiveness and a strong commitment to meeting internal and external deadlines with limited supervision
Working Conditions and Mental Demands
Work in a team environment
Utilize various software programs
May be required to sit for long periods of time
Guiding Values and Behaviors of Patient Accounts Billing Representative
Employee must consistently exhibit our guiding principles:
Patient Care - We continually earn the privilege to care for our patients. It is at the forefront of everything we do.
One Team - We respect each other and achieve together what no individual can achieve alone.
Innovation - We are driven to develop solutions that inspire progress.
Vigilance - We will never waver in our commitment to safety and preparedness in the fulfillment of our duties.
Ownership - We are accountable for what we do and take pride in how we do it.
Citizenship - We are dedicated to being good stewards in the communities we serve.
Why Choose Air Evac Lifeteam?
is one of GMR's family of solutions as a leader in helicopter air ambulance services.
teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services.
provides a resource for candidates to view the stories on how our employees provide care to the world.Learn how our are at the core of our services and vital to how we approach care and check out our comprehensive benefit options at .
Check out our careers site to learn more about our benefit options.
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. Notice of Nondiscrimination: https://www.globalmedicalresponse.com/docs/site/non-discrimination
EOE including Veterans and Disabled Show more details...
First Job
...
Previous Job
57 of 10000
Next Job
Last Job
Position range in Missouri
$29k - $45k
Per year
Remote / Work-From-Home - Medical Billing - Commercial Appeal Specialist
American Medical Response
Occupation: Bill and Account Collectors
Location: West Plains, MO - 65775
Positions available: 1
Job #: 13346290
Work At Home option: Yes
Updated: 3/6/2023
Expires: 6/4/2023
Source: MoJobs
Site: MoJobs
Agency Job ID: 72629571
Job Requirements
12
Job Properties
Job Description
Job Description
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
Review Explanation of Benefits, denial letters and payor correspondence to classify type of appeal required.
Gather, prepare, and review documentation & various forms needed to submit appeals correctly per payor guidelines.
Engage patients via 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 within required timeframes.
Timely and regular follow-up with payors regarding status of appeals.
Ability to identify payor issues within 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 advanced medical billing experience
Professional written and verbal communication skills
Knowledge and experience of computers and related technology
Ability to work independently with little or no direction and as a member of a team
Required Education
High School diploma or equivalent
Preferred (Not Required) Experience
Minimum of one (1) year working in a call center environment
Above average knowledge of insurance billing guidelines and policies
Experience with Commercial Insurance appeal and reconsideration processes
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
Strong problem-solving skills, attention to detail, and ability to make timely decisions
Excellent internal and external customer service skills
Responsiveness and a strong commitment to meeting internal and external deadlines with limited supervision
Working Conditions and Mental Demands
Work in a team environment
Utilize various software programs
May be required to sit for long periods of time
Guiding Values and Behaviors of Patient Accounts Billing Representative
Employee must consistently exhibit our guiding principles:
Patient Care - We continually earn the privilege to care for our patients. It is at the forefront of everything we do.
One Team - We respect each other and achieve together what no individual can achieve alone.
Innovation - We are driven to develop solutions that inspire progress.
Vigilance - We will never waver in our commitment to safety and preparedness in the fulfillment of our duties.
Ownership - We are accountable for what we do and take pride in how we do it.
Citizenship - We are dedicated to being good stewards in the communities we serve.
Why Choose Air Evac Lifeteam?
is one of GMR's family of solutions as a leader in helicopter air ambulance services.
teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services.
provides a resource for candidates to view the stories on how our employees provide care to the world.Learn how our are at the core of our services and vital to how we approach care and check out our comprehensive benefit options at .
Check out our careers site to learn more about our benefit options.
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. Notice of Nondiscrimination: https://www.globalmedicalresponse.com/docs/site/non-discrimination
EOE including Veterans and Disabled Show more details...
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