Jr Appeals Specialist

Job Summary

 The Appeals Specialist is responsible for performing end to end tasks for technical appeals.

Responsibilities

• Triage incoming inventory for the Appeals team, validating appeal criteria is met
• Compose technical denial arguments for reconsideration, including both written and telephonically
• Identify contract protection that can be leveraged to overturn denials.
• Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
• Identify problem accounts/processes/trends and escalate as appropriate
• Utilize effective documentation standards that support a strong historical record of actions taken on the
• Ability to perform basic math to ensure accurate statement of accounts receivable
• Meet the productivity and quality standards of the organization
• Timely completion and comprehension of all educational requirements
• Practice and adhere  to  the  “Code  of  Conduct”  philosophy  and  “Mission  and  Value Statement”

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Skills and Experience

• Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
• Interpersonal skills - able to work effectively with other employees, patients and external parties
• PC skills - demonstrates proficiency in Microsoft Office applications and others as required
• Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
• Technical skills - Professional presentation skills needed to represent facilities in legal
• Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
• Clinical skills – ability to read and interpret medical records a plus
• Education -High School Diploma
• English - Written and verbal communication skills in English (English Level B2).

About Auxis

Auxis prioritizes employee growth and development to help you advance your career. Auxis’ culture empowers you to be your best in the interest of a common team goal. We are constantly striving to improve our culture and environment and have invested in tools to continue to have better visualization of the pulse of our organization.

Benefits

• Health benefits including medical, vision, and dental.
• Transportation subsidy
• Asociacion Solidarista
• Training and development programs
• Employee recognition program
• Paid time off and family paid leave
• Paid day off for your birthday!