Appeals Specialist Medical Billing & Insurance Appeals

Appeals Specialist Medical Billing & Insurance Appeals

Mount 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 Summary

The 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 Qualifications

• High school diploma or GED required
• Minimum of one (1) year of recent experience in medical billing, insurance appeals, denial management, or healthcare revenue cycle required
• Experience working with Medicare, Medicaid, and commercial insurance payers preferred
• Knowledge of CPT, ICD-10-CM, and HCPCS coding preferred
• Experience using electronic health record (EHR) and medical billing software
• Ability to work full-time in our Doraville office

Preferred Experience

Experience with any of the following systems is highly preferred:

• CollaborateMD
• Kipu EMR
• Availity

Key Responsibilities

• Review denied and underpaid insurance claims to determine the appropriate appeal strategy
• Prepare, submit, and track insurance appeals in accordance with payer guidelines and filing deadlines
• Research payer policies and identify supporting documentation necessary for successful appeal submissions
• Work closely with billing staff and clinical teams to obtain required medical documentation
• Monitor appeal status and follow up with insurance companies to ensure timely resolution
• Maintain accurate documentation of appeal activity within billing systems
• Identify denial trends and communicate findings to leadership to improve reimbursement outcomes
• Ensure compliance with HIPAA, payer regulations, and company policies
• Assist with additional revenue cycle projects as assigned

Skills & Competencies

• Strong analytical and critical thinking abilities
• Exceptional attention to detail and accuracy
• Excellent written and verbal communication skills
• Ability to prioritize multiple tasks while meeting deadlines
• Strong organizational and time-management skills
• Ability to work independently while contributing to a collaborative team environment
• Proficiency with Microsoft Office and medical billing software

Why 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 experience
• Paid training
• Performance bonus opportunities after 90 days
• Health insurance after 60 days
• Dental, vision, and life insurance after 90 days
• 401(k)
• Paid Time Off (PTO)
• Opportunities for career advancement and leadership growth
• Stable MondayFriday schedule with evenings and weekends off
• Positive, team-oriented work environment

Ready 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.