Reimbursement Appeals Specialist - Hybrid

RxFunction

📍 Eden Prairie, Minnesota, United States

Full-time Business Operations Specialists

Job Description

Position Summary


The Reimbursement Appeals Specialist is responsible for processing and managing prior authorization and claim denial appeals for the Walkasins System across third-party payers. The Appeals Specialist will gather supporting documentation, prepare and submit appeal packages, and track cases through resolution. This role requires strong attention to detail, comfort with payer communication, and the ability to manage multiple active cases simultaneously under strict deadlines. 


This role is hybrid (onsite - T, W & TH) and located in our Eden Prairie Corporate office.


 


Job Responsibilities


Responsibilities include, but are not limited to, the following:


        Review denial communications including EOBs and denial letters for prior authorization denials and claim denials to identi...

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