Respond to assigned levels of denials by submitting appeal letters and required documentation to insurance companies within filing deadlines. Submit external review requests and required documentation to the state within required time limits. Serve as a patient advocate to help maximize reimbursement under the insurance plan and work with the patient to overturn denials.
Remote role with an onsite training period of 3 months, requiring work onsite 5 days per week at the Middleburg Heights, OH or Milan, OH facilities before transitioning to remote.
Requirements & Qualifications
High school diploma or GED
- Minimum of 4 years of health insurance billing experience
- Knowledge of the managed care industry, including payer structures, administrative rules, and government payers
- Proficiency in all aspects of reimbursement
- Ability to maintain confidentiality
- Strong attention to detail
- Excellent written and verbal communication skills
- Ability to establish priorities, work independently, and proceed without supervision
- Proficiency with Microsoft Excel and Word
Location
Ohio, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago