Appeals Specialist: Austin Diagnostic Clinic

Job Description:

Performs duties related to the appeal and/or resubmission of denied insurance claims to Medicare, Medicaid, or any third party payor. Duties: appeal claim denials with appropriate documentation. Review medical records for correct coding and enter correct coding/diagnosis information on the claim form. Process claim adjustments when appropriate, document appeal status on patient account. Answer additional information requests and perform other various duties as assigned. Responsible for accomplishing assignments in accord with established policy, procedure and production standards. Must be equally capable of working independently as well as part of a team effort. Must be proficient with CPT, ICD-9, HCPCS coding. Knowledge of IDX-BAR/PCS system applications, prior health care business office experience and intermediate proficiency with Microsoft Office Suite a plus.