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Appeals Specialist
2 months ago
Revenue Cycle/Appeals Specialist Needed
*Description:*
*100% Remote*
*Equipment Provided*
The Appeals Specialist 1, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for report trending. This position provides SSC and ancillary departments with all payer updates regarding billing and coding updates/changes, completes timely and consistently reports project status to leadership and maintains confidentiality of data and information.
-Responsible for review and resolution of prepay insurance denials, correlating with the follow-up teams.
-Works closely with Denial Coordinator, Facility Denial Liaison, and Managed Care Coordinator for education and payer accountability.
-Consults with managers and staff on developmental needs for new processes and makes recommendations to change.
-Maintains knowledge of practice management systems, basic coding and billing knowledge, customer service techniques, basic insurance/carrier knowledge, and front office operation policies.
-Gathers and makes available appropriate educational resources (e.g. books, video tapes/audio Works with associates, departments and facilities to understand denial/appeal management processes.
*Skills:*
medical claims processing, insurance claim, insurance collections, appeals, revenue cycle
*Additional Skills & Qualifications:*
-2 years of experience in revenue cycle and at least 1 year in denials or insurance medical billing
-Experience working in a revenue cycle management system (will train on internal system since hospitals all use different systems)
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
