Lead Appeals Specialist - Mountain Standard Time

Surgery Partners, Inc; Utah; On-site; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a Lead Appeals Specialist in Mountain Standard Time. This entry-level position involves managing appeals, denials, and processing medical claims. The ideal candidate will have a high school education, medical terminology knowledge, and some experience in the healthcare industry to effectively assist in claims management.

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.
• One to three years' experience in healthcare industry with third party reimbursement.
• Computer skills required for billing and spreadsheet entry.

Responsibilities

• Overseeing appeals, denials, and aging report.
• Helping follow up on medical claims that have not been paid timely.
• Assisting the AR Team in understanding claims processing issues.

Skills

Medical terminology

Computer experience

Education

High School graduate or equivalent

Job description

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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.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Information Technology

• Industries

  Hospitals and Health Care

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