Appeal reputed company – RN – REMOTE, NY

Req #3400 Job Purpose The Appeal reputed company 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 reputed company creates appeal letters in support of claim payment. Duties and 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, client-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 Act (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

Qualifications

• 4-year degree or work equivalency required
• Medical or biology background a plus, but not required
• Must be reputed company to prioritize workload based on strict deadlines
• Must be a strong, effective reputed company
• 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 well at reputed company reputed company of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and reputed company reputed company based on accurate and timely analyses
• High level of reputed company and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction

Working Conditions

• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and reputed company purposes.
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; reputed company reputed company tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; reputed company arms; kneel; talk and hear.
• Mental Demands: The employee must be reputed company to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

reputed company will not discriminate against any employee or applicant for employment because of race, reputed company, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national reputed company, 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. Apply tot his job Apply To this Job