Licensed Appeal Writer

Role Overview

The Licensed Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals. Working closely with nurses and other team members, the Licensed Appeal Writer creates appeal letters in support.

What You Will Do

Review denied insurance claims, review patients' medical files, develop strategies to reverse claim denials, create written appeals, and manage and organize appeal workflow.

Why It Might Be a Fit

Must hold an active license as a Physician's Assistant (PA), Registered Nurse (RN), Nurse Practitioner (NP), Licensed Practical Nurse (LPN), Physical Therapist (PT), Occupational Therapist (OT), or an equivalent professional license.

Requirements

• 4-year degree or work equivalency
• Active license as a Physician's Assistant (PA), Registered Nurse (RN), Nurse Practitioner (NP), Licensed Practical Nurse (LPN), Physical Therapist (PT), Occupational Therapist (OT), or an equivalent professional license
• Ability to prioritize workload based on strict deadlines
• Tech-savviness with ability to quickly learn new software
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills
• Gracious and welcoming personality for customer service interaction

Originally posted on Himalayas