Revenue Cycle Specialist - Appeals

Revenue Cycle Specialist – Appeals

Location:
Remote, United States

Hourly Compensation: $20 - $22 DOE

Work Schedule:
Full-Time, Non-Exempt

The Revenue Cycle Specialist – Appeals is responsible for performing all aspects of billing and follow-up activities related to Medicare.

• Prepare and submit all billings expeditiously.
• Respond to phone and mail inquiries from Medicare.
• Conduct all follow-up activities including handling all correspondence for appeals and fair hearings.
• Process all denials to maximum benefit.
• Adhere to all company policies and procedures.
• Assure that customer problems are handled properly and promptly.
• Process and review assigned queues on a daily basis.
• Review and advise Medicare Supervisor of any and all changes in Medicare regulations or requirements and any issues related to Medicare billing.
• Input claim data information on a daily basis.
• Balance journals periodically.
• Ensure compliance of guidelines provided by Government related agencies and Corporate policies.
• Pass Quality Assurance audits with an accuracy rate of 95% or better.

• Minimum of one (1) year prior office work experience
• Minimum of one (1) year medical billing experience
• Experience with ambulance coding and appeals is highly preferred
• Knowledge of HCPCS is preferred
• Prior work experience performing Medicare billing, follow-up, and knowledge of Medicare terminology is highly preferred
• Involvement with Medicare, Medicaid, HMO, and PPO appeals process if preferred
• General working knowledge of PCs and/or patient accounting computer systems is required
• Computer experience and proficiency using Microsoft Office Suite (Word, Excel, etc.), Adobe, and smart sheets
• Experience with website navigation is required
• Must type a minimum of 45 wpm and use a ten-key calculator by touch is required
• Working knowledge of medical terminology and ICD-9 and 10 coding is required
• Must be able to perform duties within tight time constraints and handle large volumes of work
• Must be able to work cooperatively in a team atmosphere

• High school diploma or GED required
• College courses in psychology, communications, business, and/or health services is preferred

AMR is one of Global Medical Response (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at

keep care at the center, raise your hand, seek to understand, find a way together and be accountable unite our teams and set us apart in emergency medical services.

Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.

Check out our careers site benefits page to learn more about our benefit options.