Appeal Writer - Garden City, NY, USA
11 hours ago
Job description
Job PurposeThe 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
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 comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
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
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity 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 security purposes.
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.
Similar jobs
The Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals. · ...
2 days ago
The Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals. · ...
1 day ago
+The Licensed Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals.+ · ++• 4-year degree or work equivalency required+• Must hold an active license as a Physician's Assistant (PA), Registered Nurse (RN), Nurse Pract ...
6 days ago
The Licensed Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals. · ...
1 month ago
The Licensed 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 Licensed Appeal Writer creates appeal letters in supportReview denied insurance claimsRevi ...
1 month ago
The Licensed Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals. · Review denied insurance claims · Review patients medical files · Develop strategies to reverse claim denials · ...
1 month ago
+The Licensed Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals.+ · ++Review denied insurance claims · Create written appeals · ...
1 month ago
Manages and reviews clinical denial appeals to payers. · Coordinates appeal for clinical denials to managed care/insurance companies and governmental agencies. · Writes clinical appeals and audits patient medical and billing records to determine documentation and items billing ar ...
1 month ago
Manages and reviews clinical denial appeals to payers, · coordinates appeal for clinical denials to managed care/insurance companies · and governmental agencies. · ...
1 week ago
Manages and reviews clinical denial appeals to payers. · ...
1 month ago
We are looking for a Content Writer to join our editorial team and enrich our websites with new blog posts guides and marketing copy. · Research industry-related topics combining online sources interviews and studies · Write clear marketing copy to promote our products/services · ...
1 week ago
Care Coordinator · Purpose: · This position plays a vital role in Care Management Services that supports individuals facing complex challenges.The Care Coordinators we are seeking must be passionate about enhancing lives impactfully managing acute conditions helping people achiev ...
1 day ago
4 Corner Resources is currently seeking a detail-oriented Clinical Proofreader/Editor to ensure compliance accuracy and quality in member and provider correspondence. · Complete assigned correspondence tasks promptly and within designated timeframesIDentify gaps in processes and ...
2 days ago
Client is hiring a Director for Cardiology Content who will be responsible for assigning and editing medical news content related to cardiology for an audience of physicians and healthcare professionals. · ...
2 weeks ago
We are hiring an Editorial Director for Cardiology Content who will be responsible for assigning and editing medical news content related to cardiology for an audience of physicians and healthcare professionals. · ...
2 weeks ago
We're looking for flexible creative ambitious writers to create edit and review video scripts.You must be able to generate great ideas write scripts/treatments for a wide variety of clients products services. · This is a work from home job so you can work from any city state coun ...
1 month ago
This position requires knowledge of the field of cardiology; solid journalistic skills and a proven ability to lead a team and work collaboratively with writers and editors to produce high quality content. · Brainstorm fresh and compelling content ideas for the field of cardiolog ...
2 weeks ago
We re looking for flexible creative and ambitious writers to create edit and review video scripts. This is a work from home job so you can work from any city state or country. · ...
1 month ago
We're looking for a writer to join our Communications team and help tell the stories that matter. · About the Role · You'll lead content across channels — newsletters, blogs, fundraising appeals, · press materials, · and website copy.Monthly newsletters and weekly content product ...
1 month ago
We are the most active real estate tax assessment law firm litigating in the New York City courts, · representing commercial property owners in tax assessment disputes against the City of New York. · ...
1 month ago