Licensed Appeal Writer - Remote

The Licensed Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals, creating appeal letters, and managing appeal workflow.

Requirements

• Review denied insurance claims
• Review patients' medical files
• Develop strategies to reverse claim denials
• Create written appeals
• Manage and organize appeal workflow based on internal, client-based, and insurance-driven deadlines
• Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties