Appeal Writer

November 3

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Med-Metrix

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Revenue Cycle Management • Business Intelligence • Revenue Recovery • Managed Care Improvement • Physician Advisor Services

1001 - 5000

💰 Private Equity Round on 2021-09

Description

• 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. • 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

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