Healthcare Appeals Specialist
7 days ago
Healthcare Appeals Specialist
About UsWe are Aspire Health Partners, a leading non-profit behavioral health company in the Southeast. With over 50 years of experience, we provide state-of-the-art behavioral healthcare to nearly 40,000 clients annually across six Central Florida counties and expanding into Hinesville, Georgia.
Our mission is to deliver compassionate, comprehensive, and cost-effective integrated behavioral healthcare. We strive to transform lives and communities through innovative treatment approaches.
Estimated Salary Range$60,000 - $80,000 per annum, based on location and experience.
Job Responsibilities- Review and resolve insurance claims denied or disputed by carriers due to lack of authorization or medical necessity.
- Manage medication prior authorizations to ensure timely and efficient administration.
- Bachelor's degree in Healthcare, Nursing, Performance, Law, Business, Management, or related field.
- RN or LPN with Behavioral Health experience preferred.
- Level II Background clearance required.
- Ability to multitask, prioritize tasks, and meet deadlines.
- Strong analytical/deductive skills, mathematical analysis, and problem-solving abilities.
- Familiarity with EHR systems and data manipulation using Microsoft Excel and other Office products.
- 3+ years of experience initiating appeals with Managed Care or Commercial Payors for reimbursement.
- Utilization and/or Case Management experience recommended.
- Comprehensive benefits package including medical, wellbeing, dental, and vision coverage.
- Paid Time Off (PTO) and Paid Diversity Holidays.
- 403(b) 50% employer match up to 10% with 3-year vesting cliff.
- Employee Discounts and Travel Assistance.
At Aspire Health Partners, we offer a supportive community of health professionals and opportunities for career growth. If you're a leader looking for a new challenge, apply today
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Orlando, Florida, United States Aspire Health Partners Full timeAbout Aspire Health PartnersAs one of the leading non-profit behavioral health companies in the Southeast, Aspire Health Partners has been delivering state-of-the-art behavioral healthcare for over fifty years. With locations in six Central Florida counties and expanding into Hinesville, Georgia, Aspire has a reputation for excellence and is sought out both...
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