Coordinator1-Appeals - Integrated Resources, Inc
Remote, NY 12207
About the Job
NY Pittsford (NSA)
Position: Coordinator Appeals
Pay: ***/hr
Dixon (8:00 am-5:00 pm or 7:30 am-4:30 pm -Monday-Friday)
Overview: We are seeking a detail-oriented and knowledgeable individual to join our team as a Federal No Surprise Act Coordinator-Appeals.
Key Responsibilities: 100%
"
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
" - Function as a Subject Matter Expert in one or more process areas.
" - Analyze data submitted for Independent Medical Review.
" - Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
" - Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
"
**********Minimum Requirements:
- Associate degree with 2+ years' experience.
Experience:
" Experience in healthcare law, arbitration, mediation, dispute resolution or claims adjudication in healthcare.
" Strong analytical and critical thinking skills.
" Excellent written and verbal communication abilities.
" Ability to handle sensitive information with integrity and confidentiality.
Skills:
" Persuasive communication skills (both written and verbal).
" Critical and analytical thinking.
" Familiarity with healthcare finance and insurance practices.
" Experience working with federal healthcare regulations.
" Attention to detail.
" Proficiency in operating across various platforms and displays.
" Ability to work efficiently and independently.
" Able to follow processes and procedures.
" 2 years experience in healthcare, claims and/or appeals adjudication in healthcare required
" Knowledge of Medical and Insurance Terminology
" Strong analytical and critical thinking skills.
" Proficiency in Microsoft Office Suite and experience with database management"
Position: Coordinator Appeals
Pay: ***/hr
Dixon (8:00 am-5:00 pm or 7:30 am-4:30 pm -Monday-Friday)
Overview: We are seeking a detail-oriented and knowledgeable individual to join our team as a Federal No Surprise Act Coordinator-Appeals.
Key Responsibilities: 100%
"
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
" - Function as a Subject Matter Expert in one or more process areas.
" - Analyze data submitted for Independent Medical Review.
" - Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
" - Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
"
**********Minimum Requirements:
- Associate degree with 2+ years' experience.
Experience:
" Experience in healthcare law, arbitration, mediation, dispute resolution or claims adjudication in healthcare.
" Strong analytical and critical thinking skills.
" Excellent written and verbal communication abilities.
" Ability to handle sensitive information with integrity and confidentiality.
Skills:
" Persuasive communication skills (both written and verbal).
" Critical and analytical thinking.
" Familiarity with healthcare finance and insurance practices.
" Experience working with federal healthcare regulations.
" Attention to detail.
" Proficiency in operating across various platforms and displays.
" Ability to work efficiently and independently.
" Able to follow processes and procedures.
" 2 years experience in healthcare, claims and/or appeals adjudication in healthcare required
" Knowledge of Medical and Insurance Terminology
" Strong analytical and critical thinking skills.
" Proficiency in Microsoft Office Suite and experience with database management"
Source : Integrated Resources, Inc
