[Remote] Remote Licensed Appeal reputed company - Temporary
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Licensed Appeal reputed company to support reputed company by reviewing insurance claims denied for payment on behalf of reputed company hospitals. The role involves creating appeal letters and managing appeal workflows while ensuring compliance with HIPAA standards.
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
Skills
- 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
reputed company