Job Description

At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.

Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”

Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.

The future of healthcare is being built right now. Come deliver this transformation.

The Appeals Team Member is responsible for managing and resolving appeals related to denied healthcare claims. This role sits at the core of the revenue recovery process — assessing denied claims for appealability, preparing accurate supporting documentation, and submitting appeals through the appropriate channels to maximize reimbursement for our customers. The ideal candidate combines hands-on RCM experience with strong reasoning skills and attention to detail.

What You'll Do:

• Assess denied claims for appealability, select and validate the correct supporting documents, and submit appeals through the appropriate channel to recover revenue for our customers.

• Document all actions, outcomes, and case notes accurately and completely in the system of record at every step.

• Surface recurring denial patterns and payer-specific issues to help the team improve submission accuracy and reduce preventable denials.

• Contribute to strengthening automation efforts by reviewing system-generated outputs and providing structured feedback on accuracy and gaps.

• Ensure all appeal activities comply with payer policies, timely filing requirements, and regulatory guidelines.

• Meet daily throughput and quality targets consistently.
  

What You Need to Have:

• 1+ year of experience in medical billing, claims processing, or appeals management within an RCM environment.

• Working understanding of common denial categories (bundling, modifier, medical necessity, timely filing, COB) and how to resolve them.

• Familiarity with payer policies, payer portals, and EHR systems.

• Strong written communication and comprehension skills — able to articulate appeal rationale clearly and accurately.

• Strong reasoning skills to evaluate why a claim was denied and determine the correct resolution path.

Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com Any emails from other domains are not affiliated with our organization.

Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.