Appeals Specialist
hace 4 semanas
ResponsibilitiesTriage incoming inventory for the Appeals team, validating appeal criteria is metCompose technical denial arguments for reconsideration, including both written and telephonicallyIdentify 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 argumentIdentify problem accounts/processes/trends and escalate as appropriateUtilize effective documentation standards that support a strong historical record of actions taken on the account.Ability to perform basic math to ensure accurate statement of accounts receivableMeet the productivity and quality standards of the organizationTimely completion and comprehension of all educational requirementsPractice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”Other duties as assigned
Management consulting and outsourcing firm focused on helping senior executives achieve Peak Performance in their back office so they can become more scalable, cost-effective and innovative.
**Requisitos**:
General RequirementsEnglish - Spanish Language (Oral and writing 85 % or higher), (B2+ or above).High School Diploma or Bachelor’s Degree preferred.1 year or less of experience in customer service or back office positions.Demonstrates ability to organizePerform and track multiple tasks accurately in short timeframes, have the ability to work quickly and accurately in a fast-paced environment while managing multiple demands.Ability to work both independently and collaboratively as a team playerAttention to detail.
Beneficios
Ingles requerido es mínimo es B2+ Salario 550,000 colones Subsídio de transporte de 30,000 colones De momento se trabajara de manera presencial Horario del mes de entrenamiento es de Lunes a viernes de 8am a 5pm. Luego al iniciar la producción tenemos horario de Lunes a viernes de 7am a 4pm o de 8am a 5 pm.
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Heredia, Costa Rica Auxis A tiempo completoJob 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...
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