Medical Records Appeals Specialist
Location: India (Remote)
Employment Type: Full-Time
Work Mode: 100% Remote
Industry: Medical Billing | Revenue Cycle Management | Behavioral Healthcare
Experience Required: 2–5 Years
Job Overview
Zealie, a fast-growing Medical Billing Services organization specializing in Behavioral Healthcare, is hiring a Medical Records Appeals Specialist for its remote India team. This role plays a critical part in managing medical records, preparing and submitting insurance appeals, and ensuring compliance with payer and regulatory requirements.
The ideal candidate will have hands-on experience in medical records management, insurance appeals, and accounts receivable (AR), with strong exposure to EHR systems and payer portals. This position involves direct interaction with insurance companies and internal stakeholders to resolve claim discrepancies and improve reimbursement outcomes.
Key Responsibilities
Retrieve, organize, and prepare medical records and insurance appeals for healthcare providers, payers, and regulatory agencies.
Prepare and submit appeals, regulatory complaints, and external reviews as required.
Review patient medical records for accuracy, completeness, and compliance with authorization and billing requirements.
Cross-reference billing systems and authorization tools to validate claim accuracy prior to medical record submission.
Ensure full compliance with HIPAA and applicable healthcare regulations.
Enter, analyze, and track appeal-related data using Google Sheets, payer portals, and internal systems.
Prepare and manage professional correspondence via email, payer portals, and online inquiry platforms.
Maintain regular communication with Team Leads, Managers, and internal stakeholders regarding claim status, discrepancies, and resolutions.
Meet or exceed daily productivity targets for accounts worked.
Respond to inbound calls, voicemails, and written correspondence to support timely account resolution.
Maintain strict confidentiality of patient health information (PHI).
Perform additional duties as assigned to support operational goals.
Required Skills & Competencies
Strong experience in Accounts Receivable (AR) and insurance follow-ups
Proven ability to analyze claims, documentation, and authorizations for discrepancies
Hands-on experience with payer portals and insurance appeal workflows
High level of attention to detail and data accuracy
Excellent organizational and critical-thinking skills
Strong written and verbal communication skills (email and phone)
Proficiency with EHR systems and office productivity tools including Google Workspace (Docs, Sheets, Drive)
Ability to work independently in a remote, fast-paced environment
Strong multitasking and time-management capabilities
Education & Experience Requirements
Education:
High School Diploma or equivalent (mandatory)
Associate’s Degree in Health Information Management, Medical Records, or a related healthcare field (preferred)
Experience:
2–5 years of experience in medical records, insurance appeals, AR, or health information management
Prior experience working with EHR systems is highly desirable
Preferred Qualifications
Experience in behavioral health billing or revenue cycle operations
Knowledge of the Substance Abuse and Mental Health Treatment industry
Familiarity with utilization review, payer audits, and denial management processes
About Zealie
Zealie is a specialized Medical Billing Services company focused on the Behavioral Healthcare sector, supporting substance use disorder treatment, addiction recovery, and mental health organizations. Through advanced proprietary technology, data analytics, and revenue prediction tools, Zealie enables healthcare providers to make informed business decisions while delivering high-quality patient care.
Why Join Zealie
Fully remote opportunity based in India
Work with a mission-driven organization supporting life-saving behavioral health services
Exposure to advanced medical billing and appeals operations
Collaborative, growth-oriented work culture
Apply Now
If you have experience in medical records management, insurance appeals, and AR operations and are seeking a remote healthcare role with global exposure, this opportunity offers a strong platform to advance your career.
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