Appeals and Underpayment Collector

hace 6 días


San Francisco, Heredia, Costa Rica Auxis A tiempo completo

**Job Overview**

This is an exciting opportunity to join Auxis, a leading business process outsourcing provider, as a Senior Appeals Discrepancy Collector. You will play a vital role in supporting one of our largest clients, a prominent healthcare services company, by researching and resolving underpayments.

**Responsibilities**

As a Senior Appeals Discrepancy Collector, your key responsibilities will include:

  • Validating discrepancy reason coding of underpayment inventory
  • Pursuing additional payment from payers on underpayment discrepancies through various communication channels
  • Overcoming objections that prevent payment of the claim

This role requires strong analytical and problem-solving skills, as well as effective documentation standards to support a historical record of actions taken on the account.

**Requirements**

We are seeking a highly skilled and detail-oriented individual with:

  • English - Spanish Language proficiency (90% or higher)
  • 1 year of experience in similar roles
  • Strong organizational and communication skills

**Career Growth Opportunities**

Auxis prioritizes employee growth and development, offering training and development programs, an employee recognition program, paid time off, and family-paid leave. We strive to create a culture that empowers employees to advance their careers.



  • 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 underpayment collector for one of the leading...


  • 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.The Senior Appeals Discrepancy Collector is responsible for...


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

    ResponsibilitiesPerform and validate discrepancy reason coding of underpayment inventoryPursue additional payment from payers on underpayment discrepancies through various means of communication, such as telephonically, online or via payment package processes.Overcome objections that prevent payment of the claimGain commitment for payment through concise and...


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

    **About the Role**This position plays a critical role in supporting a leading healthcare services company's financial operations. As a Senior Appeals Discrepancy Collector, you will be responsible for researching and resolving underpayments, ensuring timely and accurate reimbursement for our client.Your key responsibilities will include:Validating...


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

    Auxis is a dynamic business process outsourcing provider that partners with leading healthcare services. We are seeking an experienced professional to join our team as an Appeal Discrepancy Collector. This role involves researching and resolving Underpayments to ensure accurate payments.Main Responsibilities:Review and validate discrepancy reason coding of...


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

    **Job Summary**You will be working for a leading business process outsourcing provider to support one of its largest accounts, a prominent healthcare services company. This organization serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.The Senior Appeals Discrepancy Collector is responsible for researching and...

  • Appeals Specialist

    hace 3 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...

  • Appeals Analyst

    hace 4 semanas


    San Francisco, Heredia, Costa Rica Experian A tiempo completo

    Company DescriptionExperian is the world's leading global information services company, unlocking the power of data to create more opportunities for consumers, businesses, and society.We are thrilled to share that **FORTUNE has named Experian one of the 100 Best Companies to work for**.In addition, for the last five years, we've been named in the **100...

  • Appeals Analyst

    hace 2 semanas


    San Francisco, Heredia, Costa Rica Experian A tiempo completo

    Company DescriptionExperian is the world's leading global information services company, unlocking the power of data to create more opportunities for consumers, businesses, and society.We are thrilled to share that **FORTUNE has named Experian one of the 100 Best Companies to work for**.In addition, for the last five years, we've been named in the **100...

  • Appeals Analyst Positions

    hace 4 semanas


    San Francisco, Heredia, Costa Rica Experian A tiempo completo

    **Company Description**- Our mission is to use data driven insights to simplify healthcare for all.Simply put, we want to make the healthcare system work better for us as consumers and for those who work in healthcare.Our ONE Experian Health culture is the centerpiece of making this happen.Our aspiration is to bring people together who are driven by purpose...

  • Appeals Specialist

    hace 4 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 Analyst Positions

    hace 4 semanas


    San Francisco, Heredia, Costa Rica Experian A tiempo completo

    Full-timeEmployee Status: RegularRole Type: HybridDepartment: HealthcareSchedule: Full Time**Company Description**:- Our mission is to use data driven insights to simplify healthcare for all.Simply put, we want to make the healthcare system work better for us as consumers and for those who work in healthcare.Our ONE Experian Health culture is the centerpiece...


  • 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 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...

  • Clinical Appeals Nurse

    hace 1 semana


    San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    Job Summary:The Clinical Appeals Nurse is responsible for handling appeals requiringclinical input or interpretation**Responsibilities**:- Compose clinical appeal letters to send to payers for denial reconsiderations utilizing documentation, contract language, or voice recordings as applicable- Present a concise medical summary within each appeal based on...

  • Payment Recovery Clerk

    hace 4 días


    San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    We are Auxis, a pioneering business process outsourcing provider that serves leading healthcare services. Our team of experts is dedicated to delivering exceptional results. Join us as an Appeal Discrepancy Collector and play a vital role in researching and resolving Underpayments.Key Responsibilities:Analyze and resolve Underpayment discrepanciesNegotiate...

  • 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...

  • 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...


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

    **Job Summary**We are seeking a highly skilled Collector Financial Planning Specialist to join our team at Aligntech.In this role, you will develop, interpret and implement financial concepts for financial planning and control.You will perform technical analysis to determine present and future financial performance, gather, analyze, prepare and summarize...


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

    Job DescriptionThe Healthcare Appeals Analyst role is responsible for identifying under-allowed claims, analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance.Key Responsibilities:Implement process for identifying under-allowed claims using software and other available tools.Review and analyze EOBs for...