Revenue & Billing Specialist (Appeals) - Remote

Revenue and Billing Specialist- Appeals

• Reads and interprets remittance advice and EOBs

• Problem solves an issue. Contacts carriers and clients when needed and recommend solutions to management.

• Works complex denial categories.

• Establishes a process for “Appeals” denials, but not limited to these type denials, as needed

• Ensures accurate patient billing prior to updating dunning codes to release 

• Utilizes departmental SOPs, logs and lists to ensure accurate billing

• Verifies patient insurance coverage 

• Maintains logs/records

• Maintains productivity and quality rating as determined by the Supervisor.

• Provides clear, complete and accurate feedback to originator of correspondence or phone call

• Training Buddy” for new hires, as needed.

Qualifications:

• High School Diploma or equivalent required.

• Minimum of 2 years of previous relevant work experience required; prior RCM Sr. Accounts Receivable Specialist experience strongly preferred 

• Familiarity with LCBS billing screens, preferred Familiar with using RTPA to make necessary adjustments preferred 

• Strong attention to detail which requires following Standard Operating Procedures strongly preferred

• Excellent organizational and communication skills strongly preferred

• Basic knowledge of Microsoft office preferred

• Alpha-Numeric Data Entry proficiency   preferred

• Extensive computer and phone work    preferred

Other desired skills:

• Ability to manage time and tasks independently while maintaining productivity  

• Ability to perform successfully in an adaptable and flexible team environment  

• Excellent organizational and communication skills 

• Ability to research

REMOTE work (requirements):  

• Must have high level Internet speed (50 mbps) connectivity  

• Dedicated work from home workspace   

Application Window Closes: 11/19/2025

Pay Range: $17.50 - $20.00 (State minimum wages apply if higher)

Shift: Monday - Friday, 8:00 AM - 5:00 PM EST

All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. 

Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan.  Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only.  For more detailed information, please click here.