Appeal Writer

Med-Metrix

Pazarlıklı
Tesis içi - Manila3-5 Yıl DeneyimÜniversite mezunuTam zamanlı
Paylaşmak

İş tanımı

Açıklama

Job Purpose

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.

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
  • Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

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
  • Thorough training provided

Working Conditions

  • 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.

Gereklilik

Please refer to job description.

İletişimProblem çözmeUyarlanabilirlikZaman yönetimiTakım çalışmasıAttention To DetailKritik düşünceOrganizationCreativityMüşteri servisi
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Boss

HR ManagerMed-Metrix

Çalışma konumu

Manila, PH

Yayınlandı 29 May 2025

Med-Metrix

>1000 Çalışan

Diğerleri

İşe alınan iş ilanını görüntüle

Rapor

Bossjob Güvenlik Hatırlatması

Eğer pozisyon yurt dışında çalışmanızı gerektiriyorsa lütfen dikkatli olun ve dolandırıcılığa karşı dikkatli olun.

İş arayışınız sırasında aşağıdaki davranışlara sahip bir işverenle karşılaşırsanız, lütfen hemen bildirin

  • kimliğinizi saklıyor,
  • bir garanti vermenizi veya mülkünüzü tahsil etmenizi gerektiriyorsa,
  • sizi yatırım yapmaya veya fon toplamaya zorluyorsa,
  • Yasadışı menfaatler topluyor,
  • veya diğer yasa dışı durumlar.