Jr Appeal Specialist

hace 2 semanas


San Francisco, Heredia, Costa Rica Auxis A tiempo completo

Job Summary:
You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services.
This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.
As an appeals collector for one of the leading healthcare services providers, you will be monitoring the claims process to ensure timely reimbursement to the provider to keep medical expenses fair to the patient.
**Responsibilities**:

- Pursue additional payment on open appeals through various means of communication,
such as telephonically, online or via payment package processes with payers and patients.
- Overcome objections that prevent payment of the claim
- Gain commitment for payment through concise and factual collection
techniques.
- Escalate accounts to appropriate individuals at the payer and via SSC management as
needed, including accounts with lack of timely payer response
- Communicate trends to management as identified
- Utilize effective documentation standards that support a strong historical record of actionstaken on the account.
- Meet the productivity and quality standards of the organization
- Complete and comprehend all educational requirements
- Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
- Other duties as assigned

Skills and Experience:

- English - Spanish Language (Oral and writing 85% or higher), (C1 or above).
- Must have a high school diploma.
- At least 1 year of experience in Customer Service positions.
- This job adjusts to the Eastern Time Zone and follows a US holiday schedule.
- Strong customer service skills
- Excellent communication skills
- Ability to work independently and collaboratively
- Attention to detail
- Comfortable multitasking in a high volume/high demand environment
- Good presentation and a polite, tactful, and friendly character.
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



  • San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    **About Auxis and the Role:**Auxis is seeking a skilled Clinical Appeals Specialist to join their team. As a key member of the organization, this individual will be responsible for handling appeals requiring clinical input or interpretation.Key Responsibilities:Compose appeal letters to payers using various sources of informationPresentation of clear and...


  • San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    **Job Overview:**The Clinical Appeals Specialist plays a crucial role in handling complex appeals that require clinical input and interpretation. This position is responsible for composing compelling appeal letters to send to payers, ensuring thorough medical summaries are presented within each appeal.Main Responsibilities:Compose clinical appeal letters...

  • Appeals Specialist

    hace 6 días


    San Francisco, Heredia, Costa Rica Experian A tiempo completo

    Role SummaryWe are seeking a skilled Appeals Specialist to join our team in the Healthcare industry. As an Appeals Specialist, you will play a critical role in monitoring contractual allowances, analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance.Key Accountabilities:Monitor contractual allowances and...

  • Appeals Specialist

    hace 2 semanas


    San Francisco, Heredia, Costa Rica Grupo Stt A tiempo completo

    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...

  • Appeals Specialist

    hace 4 semanas


    San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    Job Summary:You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services.This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.As an appeals non-clinical collector for one of the leading...


  • San Francisco, Heredia, Costa Rica Softtek A tiempo completo

    At Softtek, we're looking for a highly skilled Electronics Engineer Jr to join our team.Job Description:We're seeking an individual with a Bachelor's degree in computer engineering, Computer Science, or Electrical Engineering. Proficiency in object-oriented programming languages like Java and C++ is essential.Experience with Linux operating systems and...


  • San Francisco, Heredia, Costa Rica Ntt Data A tiempo completo

    About the Role:We are seeking a highly skilled Project Manager Foundational to join our team in Heredia, Costa Rica. As a key member of our team, you will be responsible for supporting Infrastructure projects across multiple countries.Key Responsibilities:Work closely with virtual teams and remote managers to deliver projects end-to-endSupport project...


  • San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    Job Summary:Auxis is a fast-growing business process outsourcing provider that supports leading healthcare services. As an Appeal Discrepancy Collector, you will be part of a team responsible for researching and resolving Underpayments.Main Responsibilities:Validate discrepancy reason coding of underpayment inventoryPursue additional payment from payers...


  • San Francisco, Heredia, Costa Rica Amazon Support Services Costa Rica Srl A tiempo completo

    We are looking for a Finance Specialist to join our Americas AP Payments Team focusing payments monitoring, manual wires execution, checks printing process, payment inquiries attendance, failed payments resolution.The ideal candidate thrives in a fast-paced environment, has excellent problem-solving and analytical skills and is always driving for solutions,...


  • San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    Job Summary:You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services.This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.As a Tri-Care analyst, you will review customer accounts and...

  • Jr Data Entry Specialist

    hace 1 semana


    San José, Costa Rica EX2 Outcoding A tiempo completo

    Become an Outcoder as a Junior Data Entry Specialist The Data Entry Specialist is position is responsible for data entry tasks including but not limited to the transfer of inspection data from Reliable Reports’ proprietary systems to client systems, entry of replacement cost data into Duties and Responsibilities: - Enter, update and verify data in...

  • Jr Data Entry Specialist

    hace 3 semanas


    San José, San José, Costa Rica Ex2 Outcoding A tiempo completo

    **Become an Outcoder as a Junior Data Entry Specialist**Duties and Responsibilities:- Enter, update, and verify data in various proprietary and client systems- Maintain satisfactory quality and productivity- Maintain effective oral and written communication with Business Unit SpecialistEducation, Skills, and Experience:- High School Diploma or GED or one...


  • San José, Costa Rica EX2 Outcoding A tiempo completo

    Become an Outcoder as a Junior Data Entry Specialist The Data Entry Specialist is position is responsible for data entry tasks including but not limited to the transfer of inspection data from Reliable Reports' proprietary systems to client systems, entry of replacement cost data into Duties and Responsibilities: - Enter, update and verify data in various...

  • Jr Data Entry Specialist

    hace 3 semanas


    San José, Costa Rica Ex2 Outcoding A tiempo completo

    Become an Outcoder as a Junior Data Entry SpecialistThe Data Entry Specialist is position is responsible for data entry tasks including but not limited to the transfer ofinspection data from Reliable Reports' proprietary systems to client systems, entry of replacement cost data intoDuties and Responsibilities:- Enter, update and verify data in various...


  • San José, Costa Rica Marriott International, Inc A tiempo completo

    **Job Number** 23013245 **Job Category** Rooms & Guest Services Operations **Location** AC Hotel San Jose Escazu, Avenida Escazu, Escazu, San Jose, Costa Rica **Schedule** Full-Time **Located Remotely?** N **Relocation?** N **Position Type** Non-Management *** Our jobs aren’t just about giving guests a smooth check-in and check-out. Instead, we...


  • San José, San José, Costa Rica Marriott International, Inc A tiempo completo

    **Job Number** 23013245**Job Category** Rooms & Guest Services Operations**Location** AC Hotel San Jose Escazu, Avenida Escazu, Escazu, San Jose, Costa Rica**Schedule** Full-Time**Located Remotely?** N**Relocation?** N**Position Type** Non-Management***Our jobs aren't just about giving guests a smooth check-in and check-out.Instead, we want to build and...


  • San José, Costa Rica Now Digital Talent A tiempo completo

    An iGaming Digital Marketing Agency is looking for a Jr. Public Relations professional to assist the Public Relations Director in all aspects of outbound PR and media relations, including but not limited to: - Media monitoring, research, and list management using best of breed media intelligence tools. - Writing of press releases, media advisories, bylined...

  • Ingeniero Redes Jr

    hace 3 semanas


    San José, Costa Rica Sophos Solutions A tiempo completo

    Estabilidad financiera, laboral y crecimiento, muy buen ambiente de trabajo, tenemos más de 20 años de experiência en la industria de TI con presencia en todo Centro América y el Caribe, buscamos ingeniero de soporte técnico con experiência en redes apoyo en implementación, administración, cambio e instalación de equipos en sitio para San José,...

  • Jr Payroll Specialist

    hace 4 semanas


    San José, Costa Rica Now Digital Talent A tiempo completo

    Job OverviewJob Responsibilities- Processes regular payroll information on a biweekly basis.- Performs biweekly overtime audits- Keeps informed and updated in the payroll processing system and changes in wage/tax laws, and applies changes as appropriate- Respond to employee inquiries regarding payroll issues or concerns- Maintain and document all payroll...

  • HR Jr Specialist

    hace 2 semanas


    San José, Costa Rica L. L. Bean A tiempo completo

    We invite you to be part of our team of trailblazers dedicated to helping people discover and enjoy the outside. Come join us. Because on the inside we’re all outsiders. And if it’s outside, we’re all in. **Position Purpose**:This person owns, executes, and supports several processes within Talent Acquisition, Benefits administration, HR systems and...

  • Jr Payroll Specialist

    hace 1 semana


    San José, Costa Rica Now Digital Talent A tiempo completo

    Job Overview Job Responsibilities - Processes regular payroll information on a biweekly basis. - Performs biweekly overtime audits - Keeps informed and updated in the payroll processing system and changes in wage/tax laws, and applies changes as appropriate - Respond to employee inquiries regarding payroll issues or concerns - Maintain and document all...

  • Jr. Ar Specialist

    hace 3 semanas


    San José, Costa Rica MicroPort Orthopedics S.A. A tiempo completo

    **Your duties will include**: - **Review held sales orders throughout the day to determine eligibility for release/shipping within company credit guidelines.**: - **Manage account communications using a cloud-based collection management system.**: - **Run various weekly and monthly reports and archive monthly bank statements.**: - **Create and maintain...


  • San José, San José, Costa Rica Bacardi A tiempo completo

    **Your Opportunity**This role has contact with many areas of the organization, allowing to have knowledge not only of the re-billing process, but also with the area of taxes, collection and commercial finance, it is a unique role within the OTC organization, it is an excellent opportunity to make yourself known and be able to contribute in other...