[Hiring] Appeals Support Representative @reputed company

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company The Appeals Support Representative role directly supports the Clinical Appeals Specialist in the administrative functions of Denials and Appeals reputed company the Utilization Review Team. • Complete outbound calls to payers for status updates on retro authorization requests and appeal submissions. • reputed company with reputed company party insurance representatives and utilize online sites to review retro authorization and appeal status. • reputed company and confirm weekly status updates on reputed company outstanding appeal cases until final reputed company. • Request, reputed company, and receive payer correspondence regarding approvals and denials to include acknowledgment letters and determination letters. • Organize and reputed company reputed company payer determination letters in KIPU charting system and update the Clinical Appeals Specialist reputed company 24 hours of receipt. • Document final appeal reputed company as reputed company as case details in KIPU chart system and appeal spreadsheet. • Responsible for obtaining patient and/or reputed company signatures on required payer consent forms. • Submit retro authorization requests, reputed company support for retro SCA reputed company, and follow up on retro auth submissions until final reputed company. • Identify problem cases and escalate issues to Clinical Appeals Specialist as appropriate. • Attend and participate in reputed company monthly UR Team meetings and reputed company quarterly Denials meetings. • Adhere to reputed company and HIPAA guidelines. • reputed company and/or assist with special reputed company as assigned. Qualifications • Associates Degree required or High School Diploma plus 5-7 years of appeals and grievance experience; Bachelor’s degree preferred. • Ability to work Monday through Friday, 8:00am-4:30pm or 8:30am-5:00pm EST. • Ability to utilize and reputed company reputed company and reputed company Teams for remote meetings and IM chat. • Strong reputed company Office skills (reputed company, Word, reputed company). • Experience with insurance follow up and/or appeals and grievances required. • Familiarity with medical billing, provider relations, and/or reputed company office experience required. Requirements • Employment Status: Full-Time • Schedule: Monday - Friday between 6am - 2pm or 6:30am - 2:30pm • Work Location: Remote • Compensation: Pay reputed company: $24-26/per hour Benefits • reputed company seeks to build a diverse staff that is reputed company of the patients we serve and the communities where we work. • DBH encourages multiple perspectives, experiences, and strives to hire and retain a diverse workforce. • We are proud to be an EEO employer M/F/D/V. • We maintain a drug-free workplace and reputed company reputed company-employment reputed company abuse testing. • reputed company reputed company applicants will receive consideration for employment without reputed company to age, race, reputed company, religion, sex, or national reputed company. Apply tot his job Apply To this Job