Reimbursement, Medical Claims, Appeal Writing Specialist - Remote

Overview

The Reimbursement, Medical Claims, Appeal Writing Specialist will work remotely from their home office in the USA, focusing on creating and editing appeal letters for insurance claims.

In Short

• Create new appeal letters to dispute claim denials.
• Edit appeal letters written by others.
• Maintain a library of documents used in appeals.
• Review and synthesize medical records against coverage guidelines.
• Identify key issues in denial letters.
• Craft persuasive arguments for appeals.
• Assist in federal administrative law hearings as needed.
• Provide a writing sample demonstrating appeal letter writing skills.
• Type an average of 35 words per minute with high accuracy.
• Work Monday to Friday, standard 40-hour work week.

Requirements

• Paralegal, B.S./B.A. or R.N. required.
• Minimum two years' experience in healthcare insurance appeals.
• Experience working with management and external entities.
• Knowledge of health insurance appeal processes.
• Typing speed of 35 or more words per minute.

Benefits

• Excellent annual salary + 20% bonus potential.
• 20 accrued PTO days annually.
• 10 paid holidays.
• 401K with 100% company match up to 6%.
• 3 health care plan options + company HSA contribution.
• Company stock grant upon hire.