Appeals Specialist – Medical Billing & Insurance Appeals

NANA Healthcare Management, LLC•Doraville, GA

2d•$17 - $20•Onsite

About The Position

Appeals Specialist – Medical Billing & Insurance Appeals About Mount Yonah Medical Billing Mount Yonah Medical Billing (MYMB) is a rapidly growing third-party medical billing company specializing in behavioral healthcare, with expertise in substance use disorder and mental health billing. We partner with treatment providers to deliver accurate, compliant, and efficient revenue cycle management services that maximize reimbursement and support quality patient care. As we continue to grow, we are seeking a detail-oriented and motivated Appeals Specialist to join our collaborative team. This is an excellent opportunity for someone looking to build a long-term career with a stable company that values professional growth and internal advancement. Position Summary The Appeals Specialist plays a critical role in our Revenue Cycle Management team by researching, preparing, and submitting insurance appeals for denied or underpaid claims. This individual will work closely with insurance carriers and internal departments to ensure timely resolution of claim denials while maximizing reimbursement and maintaining compliance with payer regulations. The ideal candidate has strong analytical skills, excellent written communication abilities, and experience navigating payer policies and behavioral health billing.

Requirements

High school diploma or GED required
Minimum of one (1) year of recent experience in medical billing, insurance appeals, denial management, or healthcare revenue cycle required
Experience using electronic health record (EHR) and medical billing software
Ability to work full-time in our Doraville office

Nice To Haves

Experience working with Medicare, Medicaid, and commercial insurance payers preferred
Knowledge of CPT, ICD-10-CM, and HCPCS coding preferred
Experience with CollaborateMD
Experience with Kipu EMR
Experience with Availity

Responsibilities

Review denied and underpaid insurance claims to determine the appropriate appeal strategy
Prepare, submit, and track insurance appeals in accordance with payer guidelines and filing deadlines
Research payer policies and identify supporting documentation necessary for successful appeal submissions
Work closely with billing staff and clinical teams to obtain required medical documentation
Monitor appeal status and follow up with insurance companies to ensure timely resolution
Maintain accurate documentation of appeal activity within billing systems
Identify denial trends and communicate findings to leadership to improve reimbursement outcomes
Ensure compliance with HIPAA, payer regulations, and company policies
Assist with additional revenue cycle projects as assigned