Remote Licensed Appeal Writer - Temporary

Duties & 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

Qualifications

• 4-year degree or work equivalency required
• Must 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 license
• Must be able to prioritize workload based on strict deadlines
• Must be tech-savvy with ability to quickly learn new software
• Possess a high level of reading comprehension and ability to analyze medical information and terminology
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction

Physical Demands

• 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

• Follow directions
• Collaborate with others
• Handle stress