Appeals Coordinator

Appeals Coordinator (Healthcare Revenue Cycle)

This role plays a critical part in maximizing reimbursement and protecting revenue through expert-level appeals and payer negotiations.

What You'll Do

• Maximize reimbursement by identifying, documenting, and resolving contracted and non-contracted underpayments
• Draft and submit high-quality appeal letters supported by clinical documentation and regulatory standards
• Manage and resolve complex claim denials, including: Medical necessity, Usual & customary reductions, Not‑to‑closest‑facility rulings, Ground-level payment reductions
• Build and maintain strong working relationships with commercial, Medicare, Managed Care, and Workers' Comp payers
• Research statutes, payer policies, and regulatory guidelines to support appeals
• Partner with Patient Financial Services leadership to improve workflows and outcomes
• Identify trends and recommend process improvements across revenue cycle operations
• Represent the organization with a professional, compliant, and customer-focused approach

Required Qualifications

• High School Diploma or GED (Bachelor's degree preferred)
• 5+ years of medical billing experience (EMS, emergency, or surgical billing strongly preferred)
• 3+ years of direct appeals writing and payer negotiation experience
• Experience with commercial and non-contracted commercial payers
• Strong knowledge of Medicare, Managed Care, and Workers' Compensation
• Proven ability to interpret compliance, regulatory, and payer requirements
• Demonstrated success drafting professional, persuasive appeal letters
• Solid understanding of: Patient account systems, Revenue management processes, Workflow systems and optimization
• Advanced written and verbal communication skills
• Ability to work independently while collaborating effectively with cross-functional teams

Pay Details: $53,000.00 to $67,998.00 per year Search managed by: Joanna Calderon Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

Military connected talent encouraged to apply

Ref: US_EN_27_842405_3112762