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Medical Billing Appeals Specialist

Fresno, CA 93711

Posted: 03/21/2025 Category: Medical Biller Job Number: 40187 Approx. Rate per Hour (negotiable): 24.00 Branch: Fresno Office Industry: Medical Billing

Job Description


Medical Billing Appeals Specialist – Fresno, CA (Corporate Office Environment)
Pay Range: $19–$24/hour DOE
Hours: 7am-4pm Monday-Friday


We’re hiring an experienced Medical Billing Appeals Specialist to join a growing team at a large, well-established corporate office in Fresno, CA. This is an excellent opportunity for someone who is looking for growth, stability, and the chance to bring their expertise in high-volume medical billing appeals to a dynamic and evolving role.

About the Role:
As a Medical Billing Appeals Specialist, your primary focus will be handling high-volume medical claim appeals and disputes, including CMS (Medicare Demands), IDR (NSA) Disputes, Invoicing, and Reconciliation. You’ll also contribute to broader cost containment efforts and play a key part in ensuring claims are processed accurately and efficiently.

What We're Looking For:
- At least 4 years of recent hands-on experience managing medical billing appeals in a high-volume environment
- Strong working knowledge of:
  • CMS (Medicare) demands
  • Independent Dispute Resolution (IDR) under the No Surprises Act
  • Medical claims appeals & disputes
  • Invoicing and reconciliation

Day-to-Day Duties:
  • Identify, develop, and implement cost-saving opportunities
  • Handle adjustments, voids, and reissues (JAA, MCS)
  • Work with payers such as Blue Cross and communicate with carriers regarding claim statuses
  • Reconcile reports and track errors or overpayments
  • Process stop-loss claims and manage third-party liability cases
  • Maintain accurate logs, documentation, and confidentiality
  • Collaborate with other departments and attend meetings/training as needed

Qualifications:
  • High School diploma or GED required
  • 4+ years of recent, relevant experience in medical billing appeals (managed care setting preferred)
  • Strong attention to detail, ability to meet deadlines, and excellent communication skills

This role offers a starting pay of up to $24/hour depending on experience, with opportunities to grow within the company. If you thrive in a fast-paced environment and enjoy solving complex billing and claims issues, we’d love to hear from you!

Apply today to take the next step in your medical billing career.

Medical Billing Appeals Specialist – Fresno, CA (Corporate Office Environment)
Pay Range: $19–$24/hour DOE

We’re hiring an experienced Medical Billing Appeals Specialist to join a growing team at a large, well-established corporate office in Fresno, CA. This is an excellent opportunity for someone who is looking for growth, stability, and the chance to bring their expertise in high-volume medical billing appeals to a dynamic and evolving role.

About the Role:
As a Medical Billing Appeals Specialist, your primary focus will be handling high-volume medical claim appeals and disputes, including CMS (Medicare Demands), IDR (NSA) Disputes, Invoicing, and Reconciliation. You’ll also contribute to broader cost containment efforts and play a key part in ensuring claims are processed accurately and efficiently.

What We're Looking For:
? At least 4 years of recent hands-on experience managing medical billing appeals in a high-volume environment
? Strong working knowledge of:
  • CMS (Medicare) demands
  • Independent Dispute Resolution (IDR) under the No Surprises Act
  • Medical claims appeals & disputes
  • Invoicing and reconciliation

Day-to-Day Duties:
  • Identify, develop, and implement cost-saving opportunities
  • Handle adjustments, voids, and reissues (JAA, MCS)
  • Work with payers such as Blue Cross and communicate with carriers regarding claim statuses
  • Reconcile reports and track errors or overpayments
  • Process stop-loss claims and manage third-party liability cases
  • Maintain accurate logs, documentation, and confidentiality
  • Collaborate with other departments and attend meetings/training as needed

Qualifications:
  • High School diploma or GED required
  • 4+ years of recent, relevant experience in medical billing appeals (managed care setting preferred)
  • Strong attention to detail, ability to meet deadlines, and excellent communication skills

This role offers a starting pay of up to $24/hour depending on experience, with opportunities to grow within the company. If you thrive in a fast-paced environment and enjoy solving complex billing and claims issues, we’d love to hear from you!

Apply today to take the next step in your medical billing career.

Additional Information

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Career Expert

Rebecca Kirkman
President

Rebecca Kirkman is the President and founder of Hire Up Staffing and Hire Up Healthcare. She works hard daily to support our teams with the necessary training and vision in order to elevate our company to being an industry leader for staffing. What people don't know is she started the company when she was 28 years old, with already 5 years of successful staffing experience with a major name in the industry. She has helped countless people and has a true knack for intuitively being able to match people with their best path, whether it be a new job or considering to add to your team. She teaches the team those strategies and pushes everyone to get out of their comfort zone and elevate the way that they think so that they too can reach higher boundaries, then push past those as well!

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About Fresno, CA

Ready to embark on an exciting career journey in Fresno, California? Explore our job opportunities in this vibrant city nestled in the heart of the fertile San Joaquin Valley. Fresno offers job seekers a rich tapestry of unique benefits and growth opportunities. Imagine starting your day with a stroll through the stunning Forestiere Underground Gardens, savoring the area's delicious blend of Central Valley cuisine, and catching a show at the iconic Tower Theatre. With its thriving arts scene, proximity to Yosemite National Park, and home to the Fresno State Bulldogs, there's something for everyone in this charming city. Start your career in Fresno today and discover why this region is a hidden gem for aspiring professionals.

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