About this role
Alegis seeks an Appeals and Denials Representative with knowledge on appeal process for government plans and managed care insurance. Pay is commensurate with experience and range from $13.00 - $15.00 per hour.
Responsibilities will include but are not limited to:
Review of denial referrals; for early identification of root cause of denial; preliminary determination whether denial can be overturned;Request of any necessary documentation needed in order to prepare appeals;Prepare and submit appeals to insurance carriers;Monitor accounts for updates on claim/appeal status;Post insurance payments in Account Management software;Inform supervisor of trends noticed when working denials. A minimum of a high school diploma;Strong computer skills including Microsoft Excel, and Word;Able to communicate (both written and verbal) in a professional manner;Ability to multi-task and work with minimal supervision;Required to have at least one year of experience in a collection insurance, or related healthcare environment;Requires exceptional attention to detail and demonstrated ability to prioritize work to ensure accuracy and timely completion of assigned work;Requires investigational and analytical skills;Knowledge of managed care industry and government payers including Medicaid;Knowledge in hospital and insurance reimbursement and billing concepts and procedures, as well as laws and regulations affecting payment compliance, denials and appeals recovery;
Pay and Benefits
$13-$15 hourly (depending on experience with hospital billing)
Health, Vision and Dental Benefits
Floating Holiday(s) and PTO
7 paid holidays
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an Employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the Employee is frequently required to sit; use hands or fingers to handle, or feel; and react with hands and arms. The Employee is occasionally required to stand and walk and must occasionally lift and/or move up to 50 pounds.
Occasional travel is required.
MedData is an Equal Opportunity Employer