RN Appeals Writer: Turn Insurance Denials into Wins

Med-Metrix; Pasig; On-site; PHP 223,200 - 334,800; Full time

Benefits offered by this job

8-Hour Shifts, Fixed Weekends Off

Day 1 HMO with dependents covered

Group Life Insurance

Medical Cash Allowance

Paid Time Off

Free Lunch Daily

Employee Engagement Activities

Job summary

Med-Metrix seeks an Appeals Writer to support the review of insurance claims denied for payment on behalf of client hospitals. The role involves collaborating closely with nurses and creating appeal letters in support of claim payments.

Qualifications include being a Registered Nurse with clinical experience in patient care. The position is onsite and requires flexibility to work US hours.

Qualifications

• Must have at least 1 year of strong clinical experience in direct patient care.
• Must possess a high level of reading comprehension.
• US RN not required.

Responsibilities

• Review and analyze appeals and grievances.
• Conduct thorough investigations and gather medical records.
• Prepare detailed case summaries.
• Communicate effectively with members and providers.
• Review denied insurance claims.

Skills

Effective English communication skills

Ability to analyze medical information and terminology

Strong clinical experience in direct patient care

Education

Must be a Registered Nurse

Job description

Med-Metrix seeks an Appeals Writer to support the review of insurance claims denied for payment on behalf of client hospitals. The role involves collaborating closely with nurses and creating appeal letters in support of claim payments.

Qualifications include being a Registered Nurse with clinical experience in patient care. The position is onsite and requires flexibility to work US hours.