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  • 7300 Beaufont Springs Drive
    Richmond, VA 23225

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Appeals Team Lead WFH

Parallon • Richmond, VA

Posted 1 month ago

Job Snapshot

Full-Time
Experience - 1 years
Degree - High School
Healthcare - Health Services
Management

Job Description

Appeals Team Lead WFH
 
Parallon believes that organizations that continuously learn and improve will thrive. That’s why after more than a decade we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.
 
Job Summary:
The Appeals Team Lead is responsible for performing daily appeals follow-up, monitoring denial trends/issues and assisting the Appeals Manager with training of the appeals department.  This is a full time work from home opportunity, Monday thru Friday from 8:30AM to 5:00PM.
 
 
 Duties (included but not limited to):
 
  • Provides introductory and ongoing training and education to all Appeals staff to ensure that policies and procedures are followed
  • Meets with the Manager regularly to effectively communicate and resolve issues, set and prioritize goals and improve processes
  • Assists with staff communication, providing updates, resolving issues, setting goals and maintaining standards, including performing QA reviews for staff
  • Maintains established departmental policies and procedures, objectives, patient and customer service policies
  • Assists with payroll activities for team members (i.e. edit sheets)
  • Assists manager with development and implementation of project and department action plans
  • Monitors insurance denials by running appropriate reports and contacting insurance companies to resolve claims denied for clinical reasons
  • Identifies coding or clinical documentation issues and work to correct the errors in a timely manner
  • Identifies problem accounts and/or trended issues and escalates as appropriate
  • Updates the patient account record to identify actions taken on the account

 
Education:
  • High School diploma or GED required
     

Experience:
  • At least one year of related experience required.

 
We offer free parking, training support, competitive salary and excellent benefits to include several insurance package options for Medical, Dental and Vision; Paid Time Off for vacation, sick leave and holidays, Employer-paid Short Term Disability, Company matching 401K and more!

Parallon is an Equal Opportunity Employer (EOE), minority/ female/ veteran/ disabled, offering a great work environment, challenging career opportunities, and competitive compensation.
 
#ParallonBCOM
Job ID: 08648-163320
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