Appeals Specialist II

Job Summary: The Appeals Specialist II, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for report trending. This position provides SSC and ancillary departments all payor updates regarding billing and coding updates/changes, completes timely and consistently reports project status SSC leadership and maintains confidentiality of data and information.

• Responsible for review and resolution of pre pay insurance denials, correlating with the follow-up teams.
• Works closely with Denial Coordinator, Facility Denial Liaison, and Managed Care Coordinator for education and payer accountability.

• H.S. Diploma or GED
• Bachelor's Degree in Nursing preferred
• 1-3 years experience in healthcare revenue cycle or business office required
• 1-3 years experience in healthcare insurance medical billing preferred

• 401k matching
• Health insurance
• Flight privileges