Job Details

Appeals Representative

Drive meaningful impact behind the scenes of patient care while working remotely. As an Appeals Representative with TeamHealth, you'll play a key role in resolving insurance claim denials, supporting reimbursement accuracy, and helping ensure healthcare providers are paid appropriately for the care they deliver.

What You'll Do

As an Appeals Representative, you'll review and resolve insurance payment denials, conduct research, and process appeals across Medicare, Medicaid, commercial carriers, and other payers. This remote position supports TeamHealth's Akron, Ohio Billing Center and offers the opportunity to work independently while contributing to a collaborative revenue cycle team.

Key Responsibilities

• Review, prioritize, and process assigned payment denials within established timelines
• Research claim issues using carrier websites, phone outreach, and internal resources
• Prepare and submit appeal documentation for disputed claims through Waystar
• Follow up with insurance carriers regarding denied and appealed claims
• Support the development and improvement of denial management processes
• Escalate provider-related issues and submit supporting documentation as needed
• Monitor payer updates and communicate new procedures that may impact claims processing
• Identify and report recurring claim errors or trends affecting reimbursement
• Meet established quality assurance standards of 95% or higher and maintain production goals
• Complete projects and assignments accurately and on schedule

What Makes You Successful

• You are detail-oriented and enjoy investigating complex claim issues
• You can manage priorities effectively while meeting deadlines and productivity goals
• You communicate professionally and confidently with internal teams and external payers
• You are comfortable working independently in a remote environment
• You take a proactive approach to problem-solving and continuous improvement

You Bring

• High school diploma or equivalent required
• Medical billing experience preferred, with a focus on denial research and appeals processing
• Knowledge of physician billing policies and procedures across multiple states
• Strong written and verbal communication skills
• Proficiency with Microsoft Outlook, Excel, and Word
• Experience with GE Centricity Business and Enterprise Task Manager (ETM) preferred
• Ability to work independently and adapt to changing priorities
• Flexibility to work overtime when needed

Why TeamHealth

At TeamHealth, you'll join a culture built around collaboration, innovation, and purpose. TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized as one of the "165 Top Places to Work in Healthcare" for 2026 by Becker's Hospital Review. TeamHealth has also been recognized by Newsweek as one of America's Greatest Workplaces in Health Care for 2025.

We continue to grow across the U.S. from our clinicians to corporate employees.

Join Us!

If you're looking for a rewarding remote opportunity where your expertise in claims resolution and appeals can make a meaningful impact, we'd love to hear from you. Join TeamHealth and help support the financial health of the providers and patients we serve.

What We Offer

• Opportunities for career growth and professional development
• An inclusive culture where everyone feels valued, respected, and empowered to belong
• Comprehensive medical, dental, and vision coverage beginning the first of the month following 30 days of employment
• 401(k) plan with discretionary company match for eligible employees
• Generous paid time off to support work-life balance for eligible employees
• Eight paid company holidays each year
• Company-provided equipment for eligible remote positions