Appeals Specialist-Entry Level

Overview

The Appeals Specialist is a vital member of the MYMB System of Care. The Appeals Specialist is responsible for managing and resolving insurance claim denials by submitting timely, accurate, and compliant appeals. This role requires strong knowledge of payer guidelines, medical documentation, and revenue cycle processes to ensure maximum reimbursement and reduce claim denials.

Schedule: In Office, M-F 8:30am - 5pm

Type: Full-time

Work Location: In Office / In Person – Winters Chapel Road, Doraville, GA 30360

• Manage and resolve insurance claim denials by submitting timely, accurate, and compliant appeals
• Ensure adherence to payer guidelines and appropriate medical documentation throughout the appeal process
• Collaborate with clinical and billing teams to obtain required information and documentation

• Education:
  
  High school diploma or equivalent (required)
• Experience:
  
  Minimum of 1–2 years of experience in medical billing, appeals, or denial management
• Strong understanding of insurance guidelines, CPT, ICD-10, and HCPCS coding
• Familiarity with Medicare, Medicaid, and commercial payer appeal processes
• Proficiency with electronic health records (EHR) and billing systems

• Strong analytical and problem-solving skills
• Excellent written and verbal communication skills
• High attention to detail and accuracy
• Ability to manage multiple appeals and deadlines simultaneously
• Strong organizational and time-management skills
• Ability to work independently and as part of a team

• Paid training
• Health insurance offered after 60 days
• Accrued PTO offered after 90 days
• Dental, vision, life insurance offered after 90 days
• Opportunity to grow into a leadership role
• Bonus structure after 90 days