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Medical Billing Coordinator - Appeals Specialist ID-18916

About the position

The Medical Billing Coordinator - Appeal's Specialist at Omega Medical Billing is a full-time position based in Webster, TX. This role is crucial for ensuring that all appeal issues are addressed thoroughly and efficiently. The Appeals Specialist will report directly to the team leader and/or the billing and collection manager. Attention to detail is paramount in this position, as the employee will be responsible for managing and resolving appeal issues to completion. The role requires the use of problem-solving skills to navigate the complexities of each appeal, ensuring that all necessary actions are taken to facilitate a successful resolution. In this position, the employee will verify that appeals received from assigned collectors have been processed according to office policies. They will prepare all appeals in accordance with a checklist established by management, maintaining a master spreadsheet to track all appeal issues that require resolution from external parties. The Appeals Specialist will follow up diligently to ensure that no appeals are overlooked and that all required information is submitted in a timely manner. This includes mailing, faxing, or emailing all appeals within one week of receipt from the collector. Additionally, the employee will be responsible for sending all pertinent information to insurance companies to support the appeal arguments and documenting all actions taken in Medisoft, including research, coding changes, and communication details related to the appeals.

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Responsibilities

  • Verify that the appeals received from assigned collectors have been worked according to office policy.
  • Prepare all appeals according to the appeals checklist created by management.
  • Maintain a master spreadsheet for all appeal issues that need to be resolved from outside parties.
  • Follow up and track to ensure no appeals are missed and all required information has been submitted.
  • Mail, fax, or email all appeals within a timely manner, specifically within one week of receipt from the collector.
  • Send all information to insurance companies to support the argument on the appeal.
  • Document all actions taken to complete the appeal in Medisoft, including research, coding changes, and communication details.

Requirements

  • Certificate of Medical Billing and Coding or Associate's degree required.
  • 1 year of experience in medical billing and coding if school was not completed.
  • Proficiency in Microsoft Word, Excel, and Outlook.
  • Basic computer skills and ability to handle a high-volume workload.
  • Strong organizational skills and follow-up skills.
  • Ability to work in a fast-paced environment and solve problems effectively.

Nice-to-haves

  • Experience with ICD-10 coding (1 year preferred).

Benefits

  • Health insurance
  • Dental insurance
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