Medical Claims Reimbursement Specialist
hace 6 días
Estimate salary: $45,000 - $65,000 per year.
About the RoleWe are seeking a skilled Medical Claims Reimbursement Specialist to join our team at Auxis. As an Appeals Underpayment Collector, you will play a critical role in ensuring timely reimbursement to healthcare providers, promoting fair medical expenses for patients.
Responsibilities- Triage incoming appeals inventory and validate appeal criteria.
- Compose technical denial arguments for reconsideration, both written and telephonic.
- Identify contract protections that can be leveraged to overturn denials.
- Overcome objections to secure payment through effective appeal arguments.
- Escalate problem accounts/processes/trends as necessary.
- Maintain accurate documentation standards.
- Perform basic math to ensure account accuracy.
- Meet productivity and quality standards.
- Bilingual English-Spanish proficiency (C1 or above).
- High school diploma or equivalent.
- At least 6 months of customer service experience.
- Strong customer service and communication skills.
- Ability to work independently and collaboratively.
- Attention to detail and multitasking abilities.
Auxis prioritizes employee growth and development, empowering you to advance your career. Our culture fosters teamwork and continuous improvement. We offer benefits such as:
- Health, vision, and dental insurance.
- Transportation subsidy.
- Asociacion Solidarista.
- Training and development programs.
- Employee recognition program.
- Paid time off and family-paid leave.
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