Immediate need for a talented
Appeals Specialist. This is a
06+months contract opportunity with long-term potential and is located in
Austin ,TX(Onsite). Please review the job description below and contact me ASAP if you are interested.
Job ID:26-32893
Pay Range: $23 /hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:- Perform data entry to track, log, and process appeals, disputes, and reconsiderations in accordance with established guidelines.
- Prepare correspondence and maintain documentation files for appeals, disputes, and reconsiderations.
- Review and investigate requests to determine necessary follow-up actions.
- Conduct research to evaluate and respond to appeals, ensuring timely decisions.
- Prepare case files with supporting documentation for review and reporting.
- Gather data to track trends and outcomes, including outreach for updates on statuses and explanations.
- Comply with all policies and standards while performing other duties as assigned.
Key Requirements and Technology Experience:- 2+ years of experience in appeals, reviewing claims, coding, and authorizations.
- Experience with TruCare and Amisys systems.
- High School diploma or GED required.
- Knowledge of the appeals, disputes, and reconsiderations process preferred.
Our client is a leading
Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
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