TempExperts is seeking a Healthcare Appeals Specialist to support a growing healthcare technology organization in Clearwater, FL. This role plays an important part in ensuring accurate and timely resolution of insurance claim denials while helping improve financial outcomes and support patient access to critical medical services.
The ideal candidate will have experience with medical billing, insurance claims, appeals, or revenue cycle management and be comfortable researching claim issues, communicating with insurance providers, and managing multiple cases in a fast-paced healthcare environment. Responsibilities
Review and analyze denied insurance claims to determine appropriate appeal strategies.
Research claim details, insurance responses, and denial reasons to identify opportunities for resolution.
Prepare and submit insurance appeals while ensuring required documentation, payer guidelines, and submission timelines are followed.
Communicate with insurance carriers to obtain additional information and resolve outstanding claim issues.
Collaborate with billing, coding, and clinical teams to gather supporting documentation needed for appeals.
Monitor appeal status, follow up on unresolved cases, and track outcomes.
Maintain accurate and organized records of claims, appeals activity, and correspondence within company systems.
Perform additional related duties as assigned.
Requirements
Previous experience in medical billing, claims processing, insurance follow-up, or revenue cycle management required.
Experience handling denied claims and insurance appeals strongly preferred.
Knowledge of insurance guidelines, Explanation of Benefits (EOBs), payer requirements, and appeal processes.
Healthcare or medical device industry experience preferred.
Excellent written and verbal communication skills.
Strong attention to detail with the ability to research, analyze, and resolve complex issues.
Ability to work independently while managing multiple priorities in a fast-paced environment.
Strong organizational skills with the ability to meet deadlines and maintain accurate documentation.
TempExperts is an Equal Opportunity Employer.
Numbers & Facts
Location
Clearwater, FL
Skills
Analysis Skillsunmatched
Billingunmatched
Claims Processingunmatched
Communication Skillsunmatched
Detail Orientedunmatched
Documentationunmatched
Health Insuranceunmatched
Healthcareunmatched
Insuranceunmatched
Insurance Claimsunmatched
Insurance Documentationunmatched
Medical Billingunmatched
Medical Codingunmatched
Medical Equipmentunmatched
Multitaskingunmatched
Organizational Skillsunmatched
Patient Care Denialsunmatched
Presentation/Verbal Skillsunmatched
Problem Solving Skillsunmatched
Research Skillsunmatched
Revenue Managementunmatched
Time Managementunmatched
Writing Skillsunmatched
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