• 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
  
  

• 4-year degree or work equivalency required
• Medical or biology background a plus, but not required
• 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
• Thorough training provided
  
  

• 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.
  
  

Please refer to job description.