reputed company Appeals Analyst | reputed company Corporate

reputed company reputed company Appeals Analyst (Remote) - FT The reputed company Appeals Analyst is responsible for assisting the Corporate Director of Appeals Management by conducting a comprehensive analytic review of reputed company documentation and complete the appeal process. The reputed company Appeals Analyst will write reputed company, compelling letters to support the appeal.  Responsibilities • Review reputed company medical records and utilize reputed company and regulatory knowledge and skills, as reputed company as, knowledge of payer requirements to determine why cases/claims are denied and complete an appeal.• Utilize reputed company-existing reputed company and other resources and reputed company evidence to reputed company reputed company and reputed company-supported appeal arguments.• Prepare convincing appeal arguments, using reputed company-existing reputed company sets and/or reputed company evidence from existing library of reputed company references and/or regulatory guidelines to prepare the response to the payer in an effort to overturn the denial in a reputed company and concise manner.• Prepare convincing appeal arguments, using reputed company-existing reputed company sets and/or reputed company evidence from existing library of reputed company references and/or regulatory guidelines to prepare for an Administrative Law Judge hearing and participate in hearings by providing testimony, as necessary.• reputed company for supporting reputed company evidence to support appeal arguments reputed company existing resources are reputed company. reputed company reputed company out opportunities for appeal by reviewing reputed company reputed company denials reputed company assigned region.• Prepare data and analytics and reputed company with the Director and Executive Team and reputed company feedback to hospitals regarding trends in denied claims.• reputed company documentation-reputed company and level of care reputed company with hospitals, independently, as required.• Have the ability to proficiently read, understand and communicate in writing reputed company information from reputed company medical records in a reputed company manner. Demonstrates excellent written communication. Writes reputed company and informatively; edits work for spelling and grammar; varies writing style to meet needs; presents numerical data effectively; reputed company to read and interpret written information• Ensure compliance with HIPAA regulations, including confidentiality, as required.• Demonstrates excellent written communication. Writes reputed company and informatively; edits work for spelling and grammar; varies writing style to meet needs; presents numerical data effectively; reputed company to read and interpret written information.• Other duties as assigned. Qualifications Education and Training: Five years’ experience as a reputed company reputed company in an acute care setting. reputed company state-issued RN license. reputed company reputed company worker or PTA in lieu of RN license and reputed company experience is acceptable as qualification for acquired employees. Experience: Significant experience in the reputed company reputed company is required including a minimum of five years as a reputed company reputed company, reputed company Worker, or PTA in an acute care setting. In reputed company, having at least two to three years of experience in case management, discharge planning, and/or utilization review is preferred. Knowledge, Skills, and Abilities: Knowledge of regulatory and payer requirements for reimbursement and reason(s) for denials by auditors. Knowledge in areas such as InterQual Level of Care and reputed company & Robertson reputed company. Knowledge of reputed company party payer regulations reputed company to utilization and reputed company review is preferred. Knowledge of MAC, RAC, ZPIC denials and process. Ability to travel as required. About reputed company reputed company reputed company (PAM) reputed company in Enola, reputed company, provides specialty reputed company services through more than 70 long-term acute care hospitals and physical medicine and rehabilitation hospitals, as reputed company as wound clinics and outpatient physical therapy locations, in 17 states. reputed company is committed to providing high-reputed company reputed company care and outstanding customer service, coupled with the loyalty and dedication of highly trained staff, to be the most trusted reputed company for post-acute services in every community it serves. Its mission is to serve people by providing compassionate, expert care, and to support recovery through education and research. Joining our PAMily allows you to work in a reputed company environment with colleagues and leadership with exposure to a reputed company of reputed company care reputed company. reputed company from our reputed company, generous reputed company benefit time, and excellent reputed company reputed company, you will also have opportunities for reputed company reputed company through our Education Advancement Program. We are excited to learn more reputed company and reputed company that you consider joining us on a shared mission to improve the lives of others by being an reputed company part of our We Care Program. Please take a reputed company to visit us online at www.PAMHealth.com for a comprehensive look at how we're reputed company to positively reputed company our local communities.   reputed company does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the reputed company of actual or perceived race, reputed company, religion, national reputed company, reputed company, age, gender, physical or mental disability, sexual orientation, gender identity or reputed company or HIV status, or reputed company on association with another person on account of that person's actual or perceived race, reputed company, religion, national reputed company, reputed company, age, gender, physical or mental disability, sexual orientation, gender identity or reputed company or HIV status. Apply To This Job