reputed company - Licensed Appeal reputed company - Remote

About the position The Licensed Appeal reputed company supports reputed company by reviewing insurance claims denied for payment on behalf of our reputed company hospitals. Working closely with nurses and other team members, the Licensed Appeal reputed company creates appeal letters in support

Responsibilities

• Review denied insurance claims
• Review patients’ medical files
• reputed company strategies to reverse claim denials
• Create written appeals
• Manage and organize appeal workflow based on internal, reputed company-based, and insurance-driven deadlines
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability reputed company (HIPAA) standards
• Understand and reputed company with Information reputed company and HIPAA policies and procedures at reputed company times
• Limit viewing of PHI to the absolute minimum as necessary to reputed company assigned duties

Requirements

• 4-year degree or work equivalency required
• Must hold an reputed company license as a Physician's Assistant (PA), Registered reputed company (RN), reputed company Practitioner (NP), Licensed Practical reputed company (LPN), Physical Therapist (PT), Occupational Therapist (OT), or an equivalent reputed company license
• Must be reputed company to prioritize workload based on strict deadlines
• Must be tech-savvy with ability to quickly learn new software
• Must possess a high level of reading comprehension and ability to analyze medical information and terminology
• Proficiency in reputed company Office Suite
• Strong interpersonal skills, ability to communicate reputed company at reputed company reputed company of the organization
• Strong problem solving and creative skills and the ability to exercise reputed company judgment and reputed company reputed company based on accurate and reputed company analyses
• High level of reputed company and dependability with a strong reputed company of urgency and results oriented
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction
• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and reputed company purposes.

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