Job Details

A company is looking for an RCO Appeals Specialist to research and appeal denied medical claims.Key ResponsibilitiesResearch and appeal denied medical claims using various contracts and lawsIdentify denial trends and collaborate with multidisciplinary teams to improve denial managementServe as a subject matter expert and mentor within the organization regarding appealsRequired QualificationsDemonstrated experience in a healthcare revenue cycle roleProficiency in computer skills including Microsoft Office and internet useKnowledge of State/Federal/ERISA and self-funded insurance lawsExperience in healthcare insurance billing, follow-up, denials, and appeals is preferredBachelor's degree is preferred