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Insurance Appeals Jobs in Georgia (NOW HIRING)

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Insurance Appeals information

What are the key skills and qualifications needed to thrive in insurance appeals?

To thrive in Insurance Appeals, you need a solid understanding of insurance policies, claims processes, medical terminology, and relevant regulations, often supported by experience in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHRs), and knowledge of HIPAA compliance are typically required. Strong analytical skills, attention to detail, and effective written and verbal communication set outstanding professionals apart. These skills are crucial for efficiently navigating complex appeals, ensuring compliance, and achieving positive outcomes for clients or organizations.

What are some common challenges faced in an insurance appeals role, and how can they be managed?

Professionals in Insurance Appeals often encounter challenges such as navigating complex policy guidelines, handling tight deadlines, and managing extensive documentation requirements. Staying organized and up-to-date on insurance regulations is essential to ensure accurate and timely submissions. Collaborating closely with medical providers, patients, and insurance representatives can help clarify information and strengthen appeal cases. Effective time management and clear communication are key to overcoming these challenges and achieving successful outcomes.

What are insurance appeals?

Insurance appeals are formal requests made to an insurance company to reconsider and potentially overturn a denied claim or coverage decision. When an insurance provider refuses to pay for a service or treatment, policyholders or healthcare providers can submit an appeal with supporting documentation to argue why the claim should be approved. The appeals process typically involves several steps and may require detailed medical records, letters from healthcare professionals, and a clear explanation of why the original decision should be reversed.
What are popular job titles related to Insurance Appeals jobs in Georgia? For Insurance Appeals jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Insurance Appeals jobs in Georgia look for? The top searched job categories for Insurance Appeals jobs in Georgia are:
Insurance Appeals jobs near you
Infographic showing various Insurance Appeals job openings in Georgia as of August 2026, with employment types broken down into 96% Full Time, and 4% Part Time. Highlights an 87% In-person, 4% Hybrid, and 9% Remote job distribution.

Appeals Specialist - Medical Billing & Insurance Appeals

NANA Healthcare Management, LLC

Doraville, GA • On-site

$17 - $20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Job description

Appeals Specialist - Medical Billing & Insurance Appeals
Mount Yonah Medical Billing (MYMB)
Location: Doraville, GA 30360
Employment Type: Full-Time | In Office
Schedule: Monday-Friday, 8:30 AM-5:00 PM
Pay: $17.00-$20.00 per hour (based on experience)
About Mount Yonah Medical Billing
Mount Yonah Medical Billing (MYMB) is a rapidly growing third-party medical billing company specializing in behavioral healthcare, with expertise in substance use disorder and mental health billing. We partner with treatment providers to deliver accurate, compliant, and efficient revenue cycle management services that maximize reimbursement and support quality patient care.
As we continue to grow, we are seeking a detail-oriented and motivated Appeals Specialist to join our collaborative team. This is an excellent opportunity for someone looking to build a long-term career with a stable company that values professional growth and internal advancement.
Position Summary
The Appeals Specialist plays a critical role in our Revenue Cycle Management team by researching, preparing, and submitting insurance appeals for denied or underpaid claims. This individual will work closely with insurance carriers and internal departments to ensure timely resolution of claim denials while maximizing reimbursement and maintaining compliance with payer regulations.
The ideal candidate has strong analytical skills, excellent written communication abilities, and experience navigating payer policies and behavioral health billing.
Minimum Qualifications
  • High school diploma or GED required
  • Minimum of one (1) year of recent experience in medical billing, insurance appeals, denial management, or healthcare revenue cycle required
  • Experience working with Medicare, Medicaid, and commercial insurance payers preferred
  • Knowledge of CPT, ICD-10-CM, and HCPCS coding preferred
  • Experience using electronic health record (EHR) and medical billing software
  • Ability to work full-time in our Doraville office
Preferred Experience
Experience with any of the following systems is highly preferred:
  • CollaborateMD
  • Kipu EMR
  • Availity
Key Responsibilities
  • Review denied and underpaid insurance claims to determine the appropriate appeal strategy
  • Prepare, submit, and track insurance appeals in accordance with payer guidelines and filing deadlines
  • Research payer policies and identify supporting documentation necessary for successful appeal submissions
  • Work closely with billing staff and clinical teams to obtain required medical documentation
  • Monitor appeal status and follow up with insurance companies to ensure timely resolution
  • Maintain accurate documentation of appeal activity within billing systems
  • Identify denial trends and communicate findings to leadership to improve reimbursement outcomes
  • Ensure compliance with HIPAA, payer regulations, and company policies
  • Assist with additional revenue cycle projects as assigned
Skills & Competencies
  • Strong analytical and critical thinking abilities
  • Exceptional attention to detail and accuracy
  • Excellent written and verbal communication skills
  • Ability to prioritize multiple tasks while meeting deadlines
  • Strong organizational and time-management skills
  • Ability to work independently while contributing to a collaborative team environment
  • Proficiency with Microsoft Office and medical billing software
Why Join Mount Yonah Medical Billing?
We believe our employees are our greatest asset. When you join MYMB, you'll become part of a supportive team committed to professional development and long-term success.
We Offer:
  • Competitive hourly pay based on experience
  • Paid training
  • Performance bonus opportunities after 90 days
  • Health insurance after 60 days
  • Dental, vision, and life insurance after 90 days
  • 401(k)
  • Paid Time Off (PTO)
  • Opportunities for career advancement and leadership growth
  • Stable Monday-Friday schedule with evenings and weekends off
  • Positive, team-oriented work environment
Ready to Grow Your Career?
If you're a motivated professional with medical billing experience and enjoy solving complex insurance challenges, we'd love to hear from you. Apply today and become part of a growing organization where your contributions make a meaningful impact every day.

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