Healthcare Appeals Paralegal

ADP, Inc.; Washington (District of Columbia); Presencial; USD 50 000 - 61 000; Tempo integral

Resumo da oferta

ADP, Inc. in Washington, DC is seeking a detail-oriented Administrative Appeals Assistant to help file administrative appeals and related documentation to health insurers and government payers.

The role involves preparing and submitting well-written appeals, answering phones with strong customer service, researching claim details, and supporting the legal team. A Bachelor's degree or paralegal certification is preferred, with MS Office proficiency.

Qualificações

• Bachelor's Degree from a four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experience.
• Paralegal certification is desirable.
• Undergraduate degree with GPA of 3.0 or higher.
• Proficiency in Microsoft Office including Word and Excel.
• Interest in healthcare and healthcare law.
• Highly organized, aggressive, outgoing, and detail-oriented.
• Clear, concise, and logical writing style.
• Must be highly attentive to detail and able to handle large amounts of paperwork.

Responsabilidades

• Works well with attorneys and paralegals.
• Prepares, reviews, and submits appeals and related documents to insurance carriers and government payers.
• Answers phones with good customer service and message distribution.
• Develops and manages processes for optimizing the legal team's work.
• Researches claim details, insurance benefits, eligibility, and payer requirements to support appeals.
• Follows up with insurance carriers to obtain claim status and drive resolution of appeals.
• Manages the database.
• Assists with projects as needed.
• Navigates hospital EMRs and payer portals to retrieve information.
• Identifies denial trends and contributes to process improvements.

Conhecimentos

Attention to detail

Written communication

Customer service

Organization

Phone etiquette

Formação académica

Bachelor's Degree

Paralegal certification

Ferramentas

Microsoft Office

Word

Excel

Descrição da oferta de emprego

ADP, Inc. in Washington, DC is seeking a detail-oriented Administrative Appeals Assistant to help file administrative appeals and related documentation to health insurers and government payers.

The role involves preparing and submitting well-written appeals, answering phones with strong customer service, researching claim details, and supporting the legal team. A Bachelor's degree or paralegal certification is preferred, with MS Office proficiency.