Position Overview
OrthoMed Anesthesia seeking a detail-oriented Appeals Specialist to join our fast-growing organization in Addison, TX. The ideal candidate will be responsible for managing and processing insurance claim appeals, ensuring maximum reimbursement for our services. This is a full-time position based at our corporate office in Addison, TX. The role requires on-site presence during regular business hours.
Key Responsibilities
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Review denied claims and determine appropriate appeal strategies
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Prepare and submit appeal letters with supporting documentation
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Follow up on pending appeals and track their progress
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Communicate with insurance companies, healthcare providers, and patients regarding appeal status
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Maintain accurate records of all appeal activities
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Analyze appeal outcomes and identify trends to improve the appeals process
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Stay updated on insurance policies, regulations, and appeal procedures
Qualifications
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Bachelor's degree in Healthcare Administration, Business, or related field (or equivalent experience)
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2+ years of experience in medical billing, claims processing, or appeals management, preferably in anesthesia or a related specialty
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Strong knowledge of medical terminology, CPT, and ICD-10 coding
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Familiarity with insurance policies, Medicare, and Medicaid regulations
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Excellent written and verbal communication skills
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Strong analytical and problem-solving abilities
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Proficiency in Microsoft Office suite and medical billing software
At OrthoMed, you'll be part of a team dedicated to excellence in patient care. We offer competitive compensation, health/dental/vision insurance, company paid life insurance, 401(k) with 3% non-discretionary company contributions, professional development opportunities, and a fun collaborative work environment.
Join us in our mission to elevate healthcare standards and make a lasting impact. Apply now to become an integral part of our dynamic team!
Skills Required
- Bachelor's degree in Healthcare Administration, Business, or a related field, or equivalent experience
- At least 2 years of experience in medical billing, claims processing, or appeals management
- Experience in anesthesia or a related specialty
- Knowledge of medical terminology, CPT, and ICD-10 coding
- Familiarity with insurance policies, Medicare, and Medicaid regulations
- Excellent written and verbal communication skills
- Strong analytical and problem-solving abilities
- Proficiency in Microsoft Office and medical billing software
What We Do
OMS Medical Billing LLC provides high-quality medical billing services to medical providers, helping them manage revenue cycle and practice management. The company describes its mission as delivering high-quality service tailored to clients’ project needs through open communication. Its listed work covers revenue-cycle training and enablement, accounts-receivable follow-up, denied-claim resolution, claims intake, and billing education. It serves healthcare-provider operations from its Addison, Texas headquarters.
