Appeals Representative

We are actively seeking a Medical Billing Representative to join a growing healthcare team. The ideal candidate would have experience in ICD-10 and CPT-4 coding, excellent written and verbal communication skills, and previous experience in medical billing. This position is responsible for reviewing assigned denials to ensure claims are being processed correctly and efficiently.   

salary: $17.28 - $18.28 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

• Analyze denied claims to determine the correct next steps, ensuring compliance with payer-specific requirements.
  
  
• Prepare and submit claim appeals, gathering all necessary documentation within the billing system.
  
  
• Compile and transmit required documentation to payers in accordance with their established guidelines.
  
  
• Maintain expert knowledge of carrier requirements for claim appeals and related billing systems.
  
  
• Identify and report recurring billing errors that hinder accurate claim processing.
  
  
• Complete additional tasks and special projects as assigned.
  
  

SkillsMedical Billing (1 year of experience is required)Medical Billing - Denials (1 year of experience is preferred)ICD-10CPT CodesPhysician billingMicrosoft OfficeOral/Written CommunicationSelf-motivatedOrganizationFollow-up
QualificationsYears of experience: 1 yearExperience level: Experienced
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.


Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

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