Lead Appeals Specialist - Mountain Standard Time

Freddie Mac; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Freddie Mac is seeking a Lead Appeals Specialist to manage appeals, denials, and assist with medical claims processing. The role includes working closely with the AR Team, ensuring timely communication with patients, and addressing coding issues. Ideal candidates will possess a high school diploma and relevant experience in the healthcare industry.

Benefits

Comprehensive health, dental, and vision insurance

Health Savings Account with employer contribution

Life Insurance

PTO

401(k) retirement plan with company match

Qualifications

• High School graduate or equivalent required.
• 1-3 years of healthcare experience in reimbursement and collections.
• Computer experience for billing and spreadsheets is necessary.

Responsibilities

• Oversee appeals, denials, and aging report.
• Assist in following up on unpaid medical claims.
• Coordinate with the AR Team about claims processing.

Skills

Medical terminology

Third party reimbursement

Collections

Public contact

Computer experience

Education

High School graduate or equivalent

Job description

JOB TITLE: Lead Appeals Specialist

8am-5pm schedule (Mountain Standard Time).

GENERAL SUMMARY OF DUTIES:

Overseeing appeals, denials, and aging report. Helping following up on medical claims that have not been paid timely. Helping the AR Team on why claims have not been processed, sending medical records, contacting patients regarding additional information needed to process claims. Working with coding on denials.

EDUCATION/EXPERIENCE:

• High School graduate or equivalent.
• Medical terminology
• One to three years' experience in health care industry with third party reimbursement, collections and public contact.
• Computer experience required for billing, word-processing and spread sheet entry.

Benefits:

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Benefits:

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.