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Licensed Appeal Writer - Remote

Med-Metrix

Garden City, NY(remote)

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JOB DETAILS
SALARY
$75,000–$85,000 Per Year
JOB TYPE
Full-time
SKILLS
Analysis Skills, Authentication, Communication Skills, Customer Support/Service, Establish Priorities, Genetics, HIPAA (Health Insurance Portability and Accountability Act), Hospital, Information/Data Security (InfoSec), Insurance, Insurance Claims, Interpersonal Skills, Licensed Practical Nurse/Licensed Vocational Nurse, Medical Records, Microsoft Office, Military, Nurse Practitioner, Nursing, Occupational Therapy, Office Equipment, Peripheral Hardware, Physical Demands, Physical Security, Physical Therapy, Physician Assistant, Physician Credential, Presentation/Verbal Skills, Problem Solving Skills, Registered Nurse (RN), Security Compliance, Smartphones, State Laws and Regulations, Time Management, Writing Skills
LOCATION
Garden City, NY
POSTED
30+ days ago
Job PurposeThe 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 supportDuties & ResponsibilitiesReview denied insurance claimsReview patients’ medical filesDevelop strategies to reverse claim denialsCreate written appealsManage and organize appeal workflow based on internal, client-based, and insurance-driven deadlinesOther duties as assigned Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standardsUnderstand and comply with Information Security and HIPAA policies and procedures at all timesLimit viewing of PHI to the absolute minimum as necessary to perform assigned dutiesQualifications4-year degree or work equivalency requiredMust hold an active license as a Physician's Assistant (PA), Registered Nurse (RN), Nurse Practitioner (NP), Licensed Practical Nurse (LPN), Physical Therapist (PT), Occupational Therapist (OT), or an equivalent professional licenseMust be able to prioritize workload based on strict deadlinesMust be tech-savvy with ability to quickly learn new softwareMust possess a high level of reading comprehension and ability to analyze medical information and terminologyProficiency in Microsoft Office SuiteStrong interpersonal skills, ability to communicate well at all levels of the organizationStrong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analysesHigh level of integrity and dependability with a strong sense of urgency and results oriented Excellent written and verbal communication skills requiredGracious and welcoming personality for customer service interactionWorking ConditionsMust 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.

About the Company

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Med-Metrix