Appeal Resolution Specialist logs, tracks, and processes appeals and grievances. Sets up and maintains case files for each grievance and collects the information required by organizational policies and applicable regulations. Being an Appeal Resolution Specialist conducts research and coordination needed to evaluate, process, respond to, and refer or close appeals. May require an associate degree or equivalent. Additionally, Appeal Resolution Specialist typically reports to a supervisor. The Appeal Resolution Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be an Appeal Resolution Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Summary: Your primary focus will be on following up with insurance companies, tracking claims, and ensuring that all outstanding payments are collected Additionally, you will interact with doctor's offices and other medical professionals to gather necessary documentation and resolve any billing or coding issues. In this position you will be an integral part of our Revenue Cycle team, directly impacting the entire organization by ensuring goals are met and assigned receivables are addressed appropriately.
Qualifications:
Required Education: N/A
Preferred Education: High School Diploma or Equivalent
Required Experience: N/A
Preferred Experience: Minimum 1 years of experience in Professional Medical Claim Billing
Athena billing experience a plus
Required License/Registration/Certification: N/A
Preferred License/Registration/Certification: CPC or CBP
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0 Appeal Resolution Specialist jobs found in Fort Wayne, IN area