Appeals Specialist

Employer Industry: Healthcare Services

Why consider this job opportunity:

• Salary range up to $90,750.40 annually
• Opportunity for career advancement and growth within the organization
• Flexible remote work option available
• Comprehensive benefits package, including bonuses and recognition programs
• Work in a collaborative environment that values teamwork and communication
• Contribute to the organization's mission of providing exceptional patient care and support

• Assist with insurance denials and maximize reimbursement by minimizing denials
• Monitor reports and work queues to ensure timely responses to denied cases
• Prepare and submit appeals with supporting clinical information to third-party payors
• Cultivate and maintain relationships with third-party payors and coordinate appeal activities
• Perform administrative functions related to payer contracts and denial data analysis

• High School diploma/GED required
• Minimum of 2-4 years of experience in a healthcare setting with administrative and financial experience
• Denials or appeals experience required
• Strong problem-solving skills and the ability to manage multiple priorities
• Excellent oral and written communication skills

• Bachelor's degree in business, accounting, or a healthcare-related field preferred
• Experience with data mining and presentation skills using Excel and Power Point
• Ability to adapt to a hectic and challenging work pace
• Experience in training new employees when necessary
• Knowledge of management information systems and program development specifications

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.

We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.