Appeals Specialist - Medical Billing & Insurance Appeals

Appeals Specialist – Medical Billing & Insurance AppealsMount Yonah Medical Billing (MYMB) is a rapidly growing third-party medical billing company specializing in behavioral healthcare, with expertise in substance use disorder and mental health billing. We partner with treatment providers to deliver accurate, compliant, and efficient revenue cycle management services that maximize reimbursement and support quality patient care.As we continue to grow, we are seeking a detail-oriented and motivated Appeals Specialist to join our collaborative team. This is an excellent opportunity for someone looking to build a long-term career with a stable company that values professional growth and internal advancement.Position SummaryThe Appeals Specialist plays a critical role in our Revenue Cycle Management team by researching, preparing, and submitting insurance appeals for denied or underpaid claims. This individual will work closely with insurance carriers and internal departments to ensure timely resolution of claim denials while maximizing reimbursement and maintaining compliance with payer regulations.The ideal candidate has strong analytical skills, excellent written communication abilities, and experience navigating payer policies and behavioral health billing.Minimum QualificationsHigh school diploma or GED requiredMinimum of one (1) year of recent experience in medical billing, insurance appeals, denial management, or healthcare revenue cycle requiredExperience working with Medicare, Medicaid, and commercial insurance payers preferredKnowledge of CPT, ICD-10-CM, and HCPCS coding preferredExperience using electronic health record (EHR) and medical billing softwareAbility to work full-time in our Doraville officePreferred ExperienceExperience with any of the following systems is highly preferred:CollaborateMDKipu EMRAvailityKey ResponsibilitiesReview denied and underpaid insurance claims to determine the appropriate appeal strategyPrepare, submit, and track insurance appeals in accordance with payer guidelines and filing deadlinesResearch payer policies and identify supporting documentation necessary for successful appeal submissionsWork closely with billing staff and clinical teams to obtain required medical documentationMonitor appeal status and follow up with insurance companies to ensure timely resolutionMaintain accurate documentation of appeal activity within billing systemsIdentify denial trends and communicate findings to leadership to improve reimbursement outcomesEnsure compliance with HIPAA, payer regulations, and company policiesAssist with additional revenue cycle projects as assignedSkills & CompetenciesStrong analytical and critical thinking abilitiesExceptional attention to detail and accuracyExcellent written and verbal communication skillsAbility to prioritize multiple tasks while meeting deadlinesStrong organizational and time-management skillsAbility to work independently while contributing to a collaborative team environmentProficiency with Microsoft Office and medical billing softwareWhy Join Mount Yonah Medical Billing?We believe our employees are our greatest asset. When you join MYMB, you'll become part of a supportive team committed to professional development and long-term success.We Offer:Competitive hourly pay based on experiencePaid trainingPerformance bonus opportunities after 90 daysHealth insurance after 60 daysDental, vision, and life insurance after 90 days401(k)Paid Time Off (PTO)Opportunities for career advancement and leadership growthStable Monday–Friday schedule with evenings and weekends offPositive, team-oriented work environmentReady to Grow Your Career?If you're a motivated professional with medical billing experience and enjoy solving complex insurance challenges, we'd love to hear from you. Apply today and become part of a growing organization where your contributions make a meaningful impact every day.