Appeals-Billing Specialist | Patient Financial Services, Full-Time

Join Memorial Health as an Appeals-Billing Specialist in Marysville, Union County, where you'll help patients navigate their healthcare finances while ensuring accurate claim reimbursement. This full-time position plays a critical role in our Patient Financial Services team, working at the intersection of clinical care and financial accountability.

About the Role

As an Appeals-Billing Specialist, you'll manage the end-to-end appeals process for denied or partially paid claims, partnering with insurance carriers and internal departments to resolve claim issues efficiently. Your work ensures Memorial Health receives appropriate reimbursement while supporting patients with their billing concerns.

What You'll Do

• Manage the full appeals lifecycle, from claim denial review through resolution, following payer-specific timelines and requirements
• Interpret and apply hospital contracts and payer policies to determine coverage eligibility and appropriate reimbursement
• Monitor timely filing deadlines and retro-authorization windows to maximize claim recovery and minimize denials
• Collaborate with revenue cycle, clinical, and compliance departments to gather supporting documentation and clinical justification for appeals
• Track and report on appeal status, resolution rates, and trends to identify process improvements
• Communicate with patients and providers regarding claim status, payment applications, and payment options
• Maintain detailed records and audit trails for all appeals activity to ensure compliance with payer requirements and regulatory standards

What We're Looking For

• 1–3 years of experience in healthcare billing, claims processing, or patient financial services
• Strong understanding of insurance payer policies, contract terms, and appeals procedures
• Proficiency with healthcare billing systems and electronic health record (EHR) software
• Excellent written and verbal communication skills for internal coordination and external payer contact
• Detail-oriented approach with strong organizational and time management abilities
• Ability to manage competing priorities and meet strict compliance deadlines
• Problem-solving mindset and willingness to learn complex billing regulations

About Memorial Health

Memorial Health is a leading healthcare provider dedicated to delivering quality care and financial support to patients in Marysville and Union County. Our Patient Financial Services team works collaboratively to ensure transparent, fair billing practices and exceptional patient experiences.

How to Apply

To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.