Appeals Resolution Specialist

hace 6 días


San Francisco, Heredia, Costa Rica People Working Corp A tiempo completo

Company Overview: People Working Corp is a leading consulting and outsourcing firm specializing in customer services.


Job Description:


We are seeking an Appeals Resolution Specialist to join our team in Heredia, Costa Rica. As an Appeals Resolution Specialist, you will be responsible for pursuing additional payment on open appeals through various means of communication with payers and patients. Your goal will be to gain commitment for payment through concise and factual collection techniques. You will work closely with the payer and SSC management to escalate accounts as needed, including those with lack of timely payer response.


You will also communicate trends to management as identified and utilize effective documentation standards that support a strong historical record of actions taken on the account. Additionally, you will meet productivity and quality standards, complete all educational requirements, and practice and adhere to the Code of Conduct philosophy and Mission and Value Statement.


Required Skills and Qualifications:


To be successful in this role, you must have:



  • English Spanish Language: Proficiency in both oral and written communication (85% or higher) with B2+ level or above
  • High School Diploma**: Equivalent degree required
  • Customer Service Experience**: 1 year of experience in Customer Service positions
  • Schedule Adjustment**: Ability to adjust local schedule during Daylight Savings time changes in the Eastern Time Zone
  • Excellent Communication Skills**: Strong verbal and written communication skills
  • Presentation and Friendly Character**: Good presentation and polite, tactful, and friendly character
  • Healthcare Experience**: Prior experience in healthcare a plus

Benefits:


This role offers a competitive salary of $35,000 - $40,000 per annum, depending on experience, as well as opportunities for career growth and professional development. We offer a dynamic and supportive work environment, with a focus on teamwork and collaboration.


Salary Range: $35,000 - $40,000 per annum



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