What are the responsibilities and job description for the Appeals Coordinator position at LHH?
📍 Tempe, AZ 85288 (on-site) | 💼 Full-time | 💲$50,000–$65,000 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
- Experience with GE Centricity (Group Management)
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