6 дней назад
Licensed Appeal Writer (Healthcare)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Licensed Appeal Writer (Healthcare): Reviewing denied insurance claims and medical records to develop strategies and write appeals for client hospitals with an accent on medical analysis, claims workflows, and HIPAA-compliant handling of protected health information. Focus on interpreting complex medical terminology, meeting strict payer and client deadlines, and producing accurate documentation that supports claim reversals.
Location: Onsite in Pasig, Metro Manila, Philippines
Company
provides healthcare claims and medical revenue-cycle support services for hospitals and other healthcare clients.
What you will do
- Review denied insurance claims and patients’ medical files.
- Develop appeal strategies to support reversal of claim denials.
- Write clear, evidence-based appeal letters for client hospitals.
- Organize appeal workflows around internal, client, and insurance deadlines.
- Handle protected health information in accordance with HIPAA and information-security policies.
Requirements
- Four-year degree or equivalent work experience.
- Active professional license required as a Physician’s Assistant, Registered Nurse, Nurse Practitioner, Licensed Practical Nurse, Physical Therapist, Occupational Therapist, or equivalent.
- Strong reading comprehension and ability to analyze medical information and terminology.
- Excellent written and verbal communication, interpersonal, problem-solving, and judgment skills.
- Ability to prioritize work under strict deadlines, learn new software quickly, and use Microsoft Office Suite.
- Ability to protect PHI, follow directions, collaborate effectively, and handle workplace stress.
Culture & Benefits
- Structured work focused on accuracy, urgency, integrity, and dependable results.
- Customer-service interaction requires a gracious and welcoming communication style.
- A smartphone or electronic device capable of downloading applications is required for multifactor authentication and security.
- Work involves computer and office equipment use, occasional movement, and a generally quiet environment.
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