Job Details

APS Medical Billing Appeals Claims Processor

APS Medical Billing, in Toledo Ohio, is looking for an Appeals Claims Processor. This person assures timely and accurate claims are submitted to ensure the lowest possible days in accounts receivable. The person in the position will follow up on unresolved claims, investigate, identify, research and appeal denied claims.

Essential Duties and Responsibilities

• Responsible for monitoring aging reports and follows up on overdue accounts
• Follows collection policies and procedures in accordance with established procedures and time schedules
• Follows all CMS requirements
• Works denial report to provide required information to insurance companies for claims payment
• Submits appeals with supporting documentation, when warranted
• Provides account information by answering inquiries (phone and mail)
• Identifies and assists in the resolution of issues
• Notifies management of issues
• Ensures that all HIPAA requirements and standards are followed and executed consistently
• Performs other duties as necessary

Qualification Requirements

• Associate's degree or up to two years medical billing experience preferred
• Medical Billing Certificate a plus
• Highly organized and detail focused
• Effective communicator (written and verbal)
• Problem solver with the ability to identify issues, provide feedback and follow up to resolution
• Strong computer, typing and technology skills

Benefits Package includes

• Paid Time Off
• Medical plan
• Health Savings Account
• Alight Personal Health Care Advisor
• Dental, Vision, Life Insurance, 401K
• Paid holidays
• EAP - Employee Assistance Program

APS Medical Billing is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, gender, sexual orientation, age, marital status, veteran status, disability or any other category protected by applicable federal, state or local laws.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.