Appeals Specialist

hace 1 mes


San Francisco, Heredia, Costa Rica Auxis A tiempo completo
About the Role

We are seeking an Appeals Specialist to join our team at Auxis, a fast-growing business process outsourcing provider. As an appeals collector for a leading healthcare services provider, you will monitor the claims process to ensure timely reimbursement to the provider, keeping medical expenses fair to patients.

Responsibilities:

  • Pursue additional payment on open appeals through various means of communication 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 as needed.
  • Communicate trends to management as identified.
  • Utilize effective documentation standards to support a strong historical record of actions taken on the account.
  • Meet productivity and quality standards.
  • Complete all educational requirements.
  • Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement.
  • Other duties as assigned.

About You

We are looking for someone with excellent customer service skills, strong communication skills, and the ability to work independently and collaboratively. You should be comfortable multitasking in a high volume/high demand environment and have good presentation and a polite, tactful, and friendly character.

Requirements:

  • English-Spanish Language (Oral and writing 85% or higher).
  • High school diploma or equivalent.
  • At least 1 year of experience in Customer Service positions.
  • 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. Our culture empowers you to be your best in the interest of a common team goal. We offer benefits including health benefits, transportation subsidy, training and development programs, employee recognition program, paid time off, family-paid leave, and paid day off for your birthday.



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