Appeals Specialist - Insurance / Revenue Cycle

Sarasota Memorial Hospital

Nashville, TN

JOB DETAILS
SKILLS
Billing, Current Procedural Terminology (CPT), Detail Oriented, Electronic Medical Records, Health Insurance, ICD-10, Insurance, Medical Billing, Medical Coding, Medical Record System, Medical Records, Microsoft Product Family, Patient Care Denials, Presentation/Verbal Skills, Problem Solving Skills, Reimbursement, Root Cause Analysis, Support Documentation, Time Management, Writing Skills
LOCATION
Nashville, TN
POSTED
2 days ago

Appeals Specialist – Insurance / Revenue CycleJoin a results‑driven revenue cycle team where your expertise in appeals and denial management directly impacts reimbursement and patient accounts.Position HighlightsPrepare, submit, and track insurance appeals for denied or underpaid claimsReview EOBs and payer responses to identify root causes and develop effective appeal strategiesDraft clear, compliant appeal letters supported by medical documentation and codingMonitor appeal status and follow up with payers to ensure timely resolutionMaintain accurate records, logs, and reporting of appeal outcomes and trendsCollaborate with billing, coding, and clinical teams to resolve complex casesRequirements2+ years of experience in medical billing, insurance follow-up, or appealsStrong knowledge of denial management, payer guidelines, and appeals processesExperience reviewing EOBs, medical records, and coding (ICD-10/CPT preferred)Excellent written and verbal communication skillsHigh attention to detail, organization, and problem‑solving abilityProficiency in EMR/EHR systems and Microsoft OfficeBe the voice that turns denials into approvals—apply today.#J-18808-Ljbffr

About the Company

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Sarasota Memorial Hospital