Appeals Coordinator

3 weeks ago

Lombard, United States Seema Elahi MD Inc Full time
Job DescriptionJob Description

The Appeals Coordinator is responsible for coordinating the appeals process, tracking the status of appeals, ensuring timely follow-up, and communicating with patients and providers regarding appeal status.

Key Responsibilities:

- Coordinate and manage the appeals process from start to finish.

- Track the status of appeals and ensure timely follow-up.

- Communicate with patients, healthcare providers, and insurance companies regarding appeal status.

- Prepare and submit appeal documentation accurately and promptly.

- Maintain comprehensive records of appeals, including submission dates, statuses, and outcomes.

- Identify and implement improvements to the appeals process.

- Provide training and support to staff on the appeals process and best practices.

- Ensure compliance with all relevant regulations and guidelines.

Qualifications:

- Bachelors degree in Healthcare Administration, Business, or a related field.

- 2+ years of experience in appeals coordination or a related role.

- Strong understanding of insurance appeals processes and regulations.

- Excellent organizational and time management skills.

- Proficiency in medical billing software and Microsoft Office Suite.

- Strong communication skills, both written and verbal.

- Attention to detail and the ability to work independently.

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