Appeals Specialist

Healthcare Appeals Coordinator Needed in Phoenix, AZ!

Are you passionate about ensuring patients receive the care they deserve? Join our clients team as a full-time Appeals Coordinator! We are looking for a dedicated individual to assist in managing the appeals process for denied medical claims for our esteemed client in Phoenix, AZ.

Responsibilities:

• Evaluate medical claims denied by insurance companies or other payers.
  
• Conduct thorough research to identify reasons for denial and develop effective appeal strategies.
  
• Prepare and submit appeals to relevant parties, including insurance companies and government agencies.
  
• Organize and compile medical documentation to support appeals, such as medical records and physician notes.
  
• Facilitate communication between patients, healthcare providers, and insurance companies to gather necessary information and provide updates on appeal status.
  
• Monitor appeal progress and ensure all deadlines are met.
  
• Analyze denial trends and devise strategies to minimize future denials.
  
• Participate in quality improvement initiatives to enhance the appeals process.
  
• Ensure compliance with regulatory requirements, including HIPAA and Medicare guidelines.
  

Qualifications :

• Minimum 5 years of experience in medical billing/collections.
  
• Proficiency in processing Medicare, Managed Care, and Worker's Comp claims.
  
• Extensive background in medical appeals, including navigating patient account systems and revenue management processes.
  
• Strong organizational and problem-solving skills.
  

Compensation :

• Competitive salary ranging from $20-24 per hour. Sign on bonus potential
  

Schedule :

• Monday to Friday, 6am-4pm, flexible
  

Job Type:

• Direct Hire
  

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Pay Details: $21.00 to $24.00 per hour

Search managed by: Diana Bielawska

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance