Revenue Cycle Medical Billing Financial Appeal Writer BCBS

Revenue Cycle Medical Billing - Financial Appeal Writer - BCBS

Location : Remote or On-Site

Hourly Pay : $20

(this position is bonus eligible)

Work Schedule : Full-Time

The Financial Appeal Writer 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, writing of appeal, appeal submission, 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.
• Write formal appeal using information and documentation specific to each account based on the denial type & appeal submission based on payor specific 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.
• Manage daily workflow through report usage and ensure accounts are processed within required timeframes.
• Follow-up in a timely manner, regularly with payors regarding status of appeals.
• Identify payor issues within the appeal process and discuss potential improvements and workflow solutions with leadership.

Skills :

Qualifications : Required Experience

Preferred (Not Required) Experience

Preferred Education :

Why Choose GMR ? Global Medical Response (GMR) and its family of solutions are dedicated to delivering compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. Here you'll embark in meaningful work that will make an impact on you and the customers we serve. View our employees' stories on how we provide care to the world at www.AtaMomentsNotice.com.

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.

Check out our careers site benefits page to learn more about our benefit options.

R0048665