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Machinify

Medical Appeals Specialist (SCA)

УдалённоUnited States только
Опубликовано
Роль
Операции
Опыт
Синьор
$21/hr
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Доступно для: US only. Укажите, откуда вы работаете, чтобы проверить доступность.

Коротко по делу

US-based remote role for an experienced medical appeals specialist with 5+ years in administrative/healthcare support. Must know medical appeals/claims processing, Medicare/Medicaid familiarity, and medical documentation. Work authorization for the US required (E-Verify employer).

Ключевые навыки

Medical appealsClaims processingMedical documentation

Обязательные навыки

BillingRecovery processesMedicareMedicaidAppeals processesMicrosoft ExcelMicrosoft Word

Чем предстоит заниматься

  • Accurately receive, review, and forward appeal documents and requests ensuring compliance with federal and state regulations, contractual compliance, and company guidelines and standards.
  • Process all appeal documents and requests efficiently and accurately.
  • Upload media to accounts and ensure uploads are successful.
  • Distribute designated media to other departments as appropriate.
  • Meet daily/weekly production standards.
  • Provide recommendations to department management on workflow and process improvements towards efficiency, accuracy, and streamlining.
  • Complete accurately and efficiently all tasks as assigned by department management.
  • Perform other incidental and related duties as required and assigned.

Что требуется

  • High School diploma or GED required
  • 5+ years in relevant office/administrative/support environment roles with progressive complexity, preferably in healthcare-related business.
  • Demonstrated knowledge of healthcare audit, appeals processes, claim processing, billing, and recovery processes and practices (Medicare and Medicaid working knowledge strongly preferred).
  • High level of ability in multi-tasking and prioritizing workload.
  • Must have flexibility and be able to adapt to ever-changing needs and requirements.
  • Intermediate MS Excel and MS Word skills.
  • Strong knowledge of medical documentation.
  • Able to meet or exceed deadlines.
  • Ability to maintain high quality of work while meeting strict deadlines.
  • Able to work efficiently, independently, and complete any/all workload as assigned by department management.
  • Strong communication in both verbal and written business language skills.
  • Courteous, professional, and respectful attitude.
  • Responsible, dependable, conscientious, detail-oriented, and reliable.

Преимущества

  • Work from anywhere in the US!
  • Top Medical/Dental/Vision offerings
  • FSA/HSA
  • Tuition reimbursement
  • Competitive salary
  • 401(k) with company match
  • Additional health and wellness benefits and perks
  • Flexible and trusting environment

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country.

Healthcare
$21/hr