Appeals Specialist I

ROM TECHNOLOGIES INC • Clearwater, FL

7d • $20 - $23 • Onsite

About The Position

The Appeals Specialist is critical to ensuring accurate and timely resolution of insurance claims and appeals for our medical devices, contributing directly to our financial health and patient satisfaction.

Requirements

• Proven experience in medical billing, claims processing, or revenue cycle management, preferably in a medical device or healthcare setting.
• Deep understanding of insurance guidelines, EOBs, and appeal processes.
• Excellent written and verbal communication skills.
• Ability to work independently and manage multiple priorities in a fast-paced environment.

Responsibilities

• Review and analyze denied insurance claims to determine appropriate appeal strategies.
• Prepare and submit appeals to insurance providers, ensuring compliance with payer guidelines and timelines.
• Collaborate with billing, coding, and clinical teams to gather necessary documentation for appeals.
• Monitor appeal outcomes and follow-up on unresolved cases.
• Maintain accurate records of all claims and appeals activity in the system.
• Performs other related duties as required or requested.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed