Appeals Coordinator

📍 Tempe, AZ 85288 (on-site) | 💼 Full-time | 💲$50,000–$75,000 sign on bonus quarterly bonus | Monday to Friday | 🛡️ Comprehensive Benefits including medical, dental, vision, life insurance, disability, legal services, pet insurance & more.

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

Nice to Have

• Bachelor’s degree
• Prior supervisory or lead experience
• Experience with GE Centricity (Group Management) (training provided)

Additional Details

• Safety-sensitive position under the Arizona Medical Marijuana Act
• Professional workplace appearance standards apply

Equal Opportunity Employer/Veterans/Disabled

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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