Claims Appeal Specialist

4 days ago


White Plains, New York, United States Classic Westchester Full time
Job Overview

Classic Westchester, a reputable healthcare organization, is seeking a highly skilled Claims Appeal Specialist to join our team. As a Claims Appeal Specialist, you will play a critical role in ensuring the accuracy and efficiency of our claims processing system.

Key Responsibilities
  • Investigate and resolve denied claims by communicating with insurance carriers and patients
  • Prepare and submit appeals to insurance carriers in a timely manner
  • Monitor and follow up on appeals to ensure resolution
  • Collaborate with internal teams to resolve claims-related issues
  • Stay up-to-date with regulatory requirements and industry standards
Requirements
  • Strong knowledge of claim appeal processes and guidelines
  • Excellent communication and problem-solving skills
  • Ability to work independently with minimal supervision
  • Attention to detail and accuracy
  • Proficiency in Microsoft Word and Excel
What We Offer
  • A dynamic and supportive work environment
  • Opportunities for professional growth and development
  • A competitive salary and benefits package


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