Jr Appeal Specialist
hace 5 días
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 services providers, you will be monitoring the claims process to ensure timely reimbursement to the provider to keep medical expenses fair to the patient.
**Responsibilities**:
- Pursue additional payment on open appeals through various means of communication,
such as telephonically, online or via payment package processes 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 at the payer and via SSC management as
needed, including accounts with lack of timely payer response
- Communicate trends to management as identified
- Utilize effective documentation standards that support a strong historical record of actionstaken on the account.
- Meet the productivity and quality standards of the organization
- Complete and comprehend all educational requirements
- Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
- Other duties as assigned
Skills and Experience:
- English - Spanish Language (Oral and writing 85% or higher), (C1 or above).
- Must have a high school diploma.
- At least 1 year of experience in Customer Service positions.
- This job adjusts to the Eastern Time Zone and follows a US holiday schedule.
- 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. Auxis’ culture empowers you to be your best in the interest of a common team goal. We are constantly striving to improve our culture and environment and have invested in tools to continue to have better visualization of the pulse of our organization.
- Benefits_
- Health benefits including medical, vision, and dental.
- Transportation subsidy
- Asociacion Solidarista
- Training and development programs
- Employee recognition program
- Paid time off and family-paid leave
- Paid day off for your birthday
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