What are the responsibilities and job description for the Appeals Specialist position at ROM Technologies, Inc.?
General Description (Duties & Responsibilities)
The Appeals Specialist is critical to ensuring accurate and timely resolution of insurance claims and appeals for our medical devices, contributing directly to our financial health and patient satisfaction.
The Appeals Specialist is critical to ensuring accurate and timely resolution of insurance claims and appeals for our medical devices, contributing directly to our financial health and patient satisfaction.
- Review and analyze denied insurance claims to determine appropriate appeal strategies.
- Prepare and submit appeals to insurance providers, ensuring compliance with payer guidelines and timelines.
- Collaborate with billing, coding, and clinical teams to gather necessary documentation for appeals.
- Monitor appeal outcomes and follow-up on unresolved cases.
- Maintain accurate records of all claims and appeals activity in the system.
- Performs other related duties as required or requested.to our financial health and patient satisfaction.