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Appeal Writer

extra parental leave
Remote: 
Full Remote
Work from: 

Offer summary

Qualifications:

Licensed Registered Nurse., Effective writing skills., Tech-savvy with quick learning ability., High level of reading comprehension..

Key responsabilities:

  • Review denied insurance claims.
  • Create written appeal letters.
Med-Metrix logo
Med-Metrix Large https://www.Med-Metrix.com/
1001 - 5000 Employees
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Job description

Description

Job Purpose

The Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals. Working closely with nurses and other team members, the Appeal Writer creates appeal letters in support of claim payment.


Duties and Responsibilities

  • Review denied insurance claims
  • Review patients’ medical files
  • Develop strategies to reverse claim denials
  • Create written appeals
  • Manage and organize appeal workflow based on internal, client-based, and insurance-driven deadlines
  • Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards


Requirements

Qualifications 

  • Must be a licensed Registered Nurse
  • Must be able to prioritize workload based on strict deadlines
  • Must be a strong, effective writer
  • 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
  • Medical or biology background a plus, but not required
  • Thorough training provided

Working Conditions

  • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
  • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
  • Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.


Salary Description
70k - 75k

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Writing
  • Reading Comprehension
  • Prioritization
  • Stress Management
  • Collaboration

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