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Home » Jobs » Clinical Appeals Specialist

Clinical Appeals Specialist

Intersect Healthcare Inc.

Introduction:

Fast growing company in Towson, Maryland specializing in Denial Management solutions has a full time position available for a Clinical Appeals Specialist.

Competitive Salary and Benefits Package available.

Responsibilities:

  • Review denial letters received from Insurance companies and determine denial rationale.
  • Select appropriate Issue and Templates to begin the Appeal writing process using propriety denial management software.
  • Assist Appeal Coordinators with document uploads and follow up on appeals to ensure the timely delivery of decisions by Insurance companies.
  • Understand and utilizes Veracity software.
  • Completes all Task assignments within due dates.
  • Ensures compliance with HIPAA and company privacy regulations.
  • Attends meetings as requested.
  • Displays flexibility and a willingness to address additional work when the need arises.
  • Other job functions as assigned.

Credentials – Experience:

  • RHIT credential required with a minimum 1 to 2 years of experience in hospital related role as outlined below:
  • Inpatient Coding and/or Revenue Cycle Experience.
  • Appeal Writing.
  • Organized disciplined time management skills.
  • Able to follow policies and procedure.

Preferred Qualifications:

  • Excellent Time Management Skills
  • Attention to Detail
  • Ability to work in a fast paced environment
  • Ability to meet deadlines

Education Qualifications:

RHIT Credential with 1-2 years experience in hospital/medical related role related to:  Inpatient coding and/or Appeal Writing

Compensation/Benefits:

  • $50,000 starting salary with opportunity for bonuses
  • Paid time Off
  • Paid Holidays
  • Excellent Benefit package

Instructions for Resume Submission:

Please forward resumes to:

Jane Nier: jnier@intersecthealthcare.com

and

Julie Raynor: jraynor@intersecthealthcare.com

November 22, 2019 Andrea

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  • Clinical Appeals Specialist November 22, 2019

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