Job Description

Job Description

Job Description

We are partnered with a specialized medical practice in Sarasota is seeking an experienced Medical Denials and Appeals Specialist. This role is focused on managing insurance claims for denied or short-paid accounts, without any coding responsibilities. Were looking for a diligent, professional, and assertive candidate who can effectively communicate with insurance companies to secure accurate payments. The ideal candidate understands insurance processes, medical codes, and appeals procedures, and can confidently advocate for claim resolutions in a respectful and professional manner.

Key Responsibilities:
- Review and analyze insurance claims that have been denied or partially paid.
- Contact insurance companies to resolve discrepancies by phone and written communication.
- Submit appeals on denied or short-paid claims with supporting documentation.
- Monitor claim statuses and follow up to ensure timely resolution.
- Work collaboratively with the internal billing team to improve processes.

Qualifications:
- Prior experience in medical billing, AR claims processing, or a similar role.
- Strong understanding of insurance policies, EOBs, and medical billing codes.
- Excellent communication skills with a confident, professional, and persistent approach.
- Ability to handle challenging conversations with insurance representatives tactfully.
- High attention to detail and commitment to thorough follow-up.

Schedule: Monday-Friday, 8 AM - 5 PM

Pay Rate: $23-$25/hour

If this is a position that interests you, please contact our office at 941-946-8600!

Job Tags

Work at office, Monday to Friday,

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