Appeals Assistant

Job not on LinkedIn

🔥 5 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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University Hospitals

WebsiteLinkedInAll Job Openings

10,000+ employees

📚 Education

💰 $2M Grant on 2021-07

Healthcare • Medical Services • Education

University Hospitals is a leading healthcare provider that offers a wide range of medical services, including primary care, specialty care, and urgent care. With a focus on patient-centered care, UH also engages in medical education and research, ensuring high-quality treatment and innovative healthcare solutions. The institution is recognized nationally for its excellence in various medical specialties, providing accessible healthcare to the community and beyond.

📋 Description

• Collaborates and coordinates with all members of the health care team, patient and family (or significant others) to coordinate and ensure timely and efficient delivery of required workflow, services and tasks. • Perform timely and accurate denial communications and activity; clarify communications as needed, and collect additional information in preparation for Nurse review. • Support the denial/appeal management nurse in collaborating with physicians, UM Nurses, PAS, and other members of the Interdisciplinary team, Revenue Cycle and payers to collect and relay all pertinent information to support successful appeals. • Document appeal activity according to department standards to support accurate reporting. • Research and record appeals outcomes and produce reports related to denial and appeal outcomes.

🎯 Requirements

• High School Equivalent / GED (Required) • Associate's Degree (Preferred) • 2+ years of hospital or physician office billing or Utilization Management/Case Management department experience (Required) • Experience in managed care (Preferred) • Detail-oriented and organized, with good analytical and problem solving ability. • Notable client service, communication, presentation and relationship building skills. • Ability to function independently and as a team player in a fast-paced environment. • Must have strong written and verbal communication skills. • Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.). • Strong typing skills. • Medical Terminology.

🏖️ Benefits

• Complies with all policies and standards. • Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.