Appeals Assistant

Jobtailor; Deutschland; Vor Ort; EUR 42.000 - 65.000; Vollzeit

Zusammenfassung

Jobtailor is seeking a dedicated Denial and Appeal Coordinator to support the health care revenue cycle. You will collaborate with the health care team, patients, and families to manage denial communications and appeals, ensuring timely, accurate information exchange.

You will assist the denial/appeal management nurse by coordinating with physicians, UM Nurses, PAS, and interdisciplinary teams to collect pertinent data and produce reports on denial and appeal outcomes.

Qualifikationen

• High School Equival ent / GED required.
• Associate's Degree preferred.
• 2+ years of hospital or physician office billing or Utilization Management/Case Management experience required.
• Experience in managed care preferred.
• Detail-oriented and organized with strong analytical and problem solving ability.
• Strong written and verbal communication skills.

Aufgaben

• Collaborates and coordinates with all members of the health care team, patient and family (or significant others).
• Perform timely and accurate denial communications and activity; clarify communications as needed, and collect additional information in preparation for Nurse review.
• Support the denial/appeal management nurse in collaborating with physicians, UM Nurses, PAS, and other members of the Interdisciplinary team, Revenue Cycle and payers to collect and relay all pertinent information to support successful appeals.
• Document appeal activity according to department standards to support accurate reporting of denial and appeal status, outstanding revenue and to help identify trends.
• Research and record appeals outcomes and produce reports related to denial and appeal outcomes.

Kenntnisse

Billing Experience

Analytical Skills

Problem Solving

Typing Skills

Report Production

Ausbildung

High School Equivalent / GED

Associate's Degree

Tools

Microsoft Office Suite

PC Proficiency

General Office Equipment

Jobbeschreibung

• Collaborates and coordinates with all members of the health care team, patient and family (or significant others)
• Perform timely and accurate denial communications and activity; clarify communications as needed, and collect additional information in preparation for Nurse review
• Support the denial/appeal management nurse in collaborating with physicians, UM Nurses, PAS, and other members of the Interdisciplinary team, Revenue Cycle and payers to collect and relay all pertinent information to support successful appeals
• Document appeal activity according to department standards to support accurate reporting of denial and appeal status, outstanding revenue and to help identify trends
• Research and record appeals outcomes and produce reports related to denial and appeal outcomes

Requirements

• High School Equivalent / GED (Required) and Associate's Degree (Preferred)
• 2+ years of hospital or physician office billing or Utilization Management/Case Management department experience (Required)
• Experience in managed care (Preferred)
• Detail-oriented and organized, with good analytical and problem solving ability (Required proficiency)
• Notable client service, communication, presentation and relationship building skills (Required proficiency)
• Ability to function independently and as a team player in a fast-paced environment (Required proficiency)
• Strong written and verbal communication skills (Required proficiency)
• Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.) (Required proficiency)
• Strong typing skills (Required proficiency)
• Medical Terminology (Required proficiency)

Demonstrates expertise in denial and appeal management, with strong analytical skills to support accurate reporting and trend identification. Proficient in medical terminology and effective communication, fostering collaboration within interdisciplinary teams.

Highest-signal resume keywords

• Denial Management
• Appeal Management
• Utilization Management
• Medical Terminology
• Client Service

ATS Optimization Keywords

Hard Skills

• Billing Experience
• Analytical Skills
• Problem Solving
• Typing Skills
• Report Production

Soft Skills

• Detail-Oriented
• Organized
• Communication Skills
• Relationship Building
• Team Player

Certifications & Qualifications

• High School Equivalent / GED
• Associate's Degree

Industry Keywords

• Managed Care
• Interdisciplinary Team
• Revenue Cycle
• Patient Care
• Health Care Team

Tools & Technologies

• Microsoft Office Suite
• PC Proficiency
• General Office Equipment