Posted 2w ago

Appeals Specialist-Entry Level

@ NANA Healthcare Management
Doraville, Georgia, United States
OnsiteFull Time
Responsibilities:managing appeals, resolving denials, evaluating documentation
Requirements Summary:High school diploma or equivalent required; 1–2 years in medical billing, appeals, or denial management; strong knowledge of CPT/ICD-10/HCPCS; familiarity with Medicare/Medicaid/commercial payer processes; proficient in EHR/billing systems.
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Job Description
Job Description:
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

Education:
  • High school diploma or equivalent (required)  
  • Minimum of 1–2 years of experience in medical billing, appeals, or denial management

Experience:
  • Strong understanding of insurance guidelines, CPT, ICD-10, and HCPCS coding
  • Familiarity with Medicare, Medicaid, and commercial payer appeal processes
  • Proficient in electronic health records (EHR) and billing systems

Skills & Competencies
  • 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

Why You Should Join Our 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