Senior Appeals Specialist

hace 7 días


San Francisco, Heredia, Costa Rica Auxis A tiempo completo
Job Overview

Auxis is a dynamic company that prioritizes employee growth and development, empowering you to advance your career. As a Senior Appeals Specialist, you will play a crucial role in resolving claims efficiently.

Responsibilities
  • Triage incoming inventory for the appeals team, ensuring appeal criteria are met
  • Compose technical denial arguments for reconsideration, utilizing written and telephonic communication
  • Identify contract protections to overturn denials and overcome objections
  • Maintain accurate records and meet productivity and quality standards
Required Skills and Qualifications
  • Effective communication and interpersonal skills
  • Ability to work with customers, employees, and external parties
  • Demonstrated knowledge of organizational policies and procedures
  • Basic mathematical calculations and transcription skills
  • Clinical skills, including reading and interpreting medical records
Benefits
  • Health benefits (medical, vision, dental)
  • Transportation subsidy
  • Asociacion Solidarista
  • Training and development programs
  • Employee recognition program
  • Paid time off and family paid leave
Estimated Salary: $60,000 - $80,000 per annum

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