Revenue Cycle Medical Billing Financial Appeal Writer

Revenue Cycle Medical Billing - Financial Appeal Writer

Work Location : Remote or In-Office

Hourly Pay : $18.50

(this position is bonus eligible)

JOB SUMMARY

The Financial Appeal Writer is responsible for managing the appeal process for denied and underpaid healthcare claims. This role involves reviewing claim denials, researching payment and coverage policies, and drafting evidence-based appeal letters to secure maximum reimbursement from insurance carriers. The specialist will collaborate with clinical and billing staff, analyze denial trends, and ensure timely submission of all appeals in compliance with regulatory requirements. The ultimate goal is to minimize lost revenue for the organization.

ESSENTIAL FUNCTIONS / DUTIES

• Review and analyze denials : Examine explanation of benefits (EOBs) and claim denial reasons to determine the root cause of non-payment or underpayment.
• Case management : Gather and organize necessary documentation, including medical records and billing information, to support the appeal.
• Draft appeals : Write detailed and compelling appeal letters that cite specific clinical guidelines, medical necessity arguments, or payer contract terms to support the claim.
• Identify trends : Analyze denial patterns and trends to identify systemic issues and report findings to management for process improvement.
• Communicate with stakeholders : Serve as a liaison between the healthcare organization, insurance carriers, and sometimes patients to clarify issues and provide updates on claim status.
• Ensure compliance : Stay current on all relevant healthcare regulations, coding updates, and payer-specific appeal guidelines.

QUALIFICATIONS

Required Experience :

Preferred Experience :

Required Skills :

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.

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