Job Title: Medical Records Appeals Specialist
Location: Remote (India)
Employment Type: Full-Time
Experience Required: 1–3 Years
Zealie is a leading Medical Billing Services company specializing in the Behavioral Healthcare sector, including substance use disorder treatment, addiction recovery, and mental health centers. Our proprietary technology provides advanced data analytics and revenue prediction tools to empower our clients to make strategic business decisions and optimize growth.
We are committed to delivering exceptional services, and our Utilization Review and Appeals team plays a critical role in ensuring accurate and compliant medical record management. Join Zealie and contribute to improving healthcare delivery while growing your career in a dynamic, fast-paced environment.
The Medical Records Appeals Specialist is responsible for reviewing, organizing, and maintaining patient medical records and managing insurance appeals. This role ensures records are accurate, complete, compliant with healthcare regulations, and processed efficiently. The specialist will work closely with insurance companies, healthcare providers, and internal teams to resolve discrepancies in claims, authorizations, and billing codes.
This is a remote position offering exposure to electronic health record (EHR) systems, payer portals, and healthcare compliance processes.
Review patient records for accuracy, completeness, and compliance with HIPAA and other regulatory standards
Prepare and submit appeals, external reviews, and regulatory complaints as required
Cross-reference billing and authorization data to ensure correct submissions
Enter, update, and analyze data in EHR systems, Google Sheets, and payer portals
Maintain regular communication with team leads, managers, healthcare providers, and insurance representatives regarding appeals, discrepancies, and claim adjustments
Monitor daily workflow and meet or exceed productivity goals for appeals processed
Respond promptly to emails, calls, and voicemails related to accounts and claims
Maintain strict confidentiality of all patient records and sensitive information
Identify discrepancies in coding, authorizations, and documentation, and escalate issues when necessary
Perform other duties as assigned to support team and operational goals
Strong experience in Accounts Receivable (AR) and medical appeals
Excellent organizational, analytical, and critical thinking skills
Attention to detail and commitment to accuracy in documentation and submissions
Effective written and verbal communication skills
Proficiency with EHR systems, payer portals, and standard office software (Google Workspace, Google Sheets, Google Docs)
Ability to manage multiple tasks independently and in a collaborative team environment
Knowledge of behavioral health billing and the Substance Abuse/Mental Health industry is a plus
High School Diploma or equivalent required; Associate’s degree or higher in Health Information Management, Medical Records, or related field preferred
1–3 years of experience in medical records, appeals processing, or health information management
Experience in behavioral health billing or working with EHR systems is highly desirable
Work remotely with a fast-growing global company in behavioral healthcare
Gain exposure to medical records management, insurance appeals, and healthcare compliance
Develop career growth opportunities within billing operations and health information management
Contribute to meaningful work that supports patients and healthcare providers
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Medical Records Appeals Specialist Jobs India, Remote Medical Billing Jobs, Behavioral Health Appeals Jobs, EHR Specialist Careers, Health Information Management Jobs, Insurance Claims Appeals, Healthcare Compliance Jobs, AR Specialist Remote
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