Jr Appeals Specialist

Job Summary

The Jr Appeals Specialist is responsible for performing end-to-end tasks for technical appeals.

Responsibilities

• Triage incoming inventory for the Appeals team, validating appeal criteria is met
• Compose technical denial arguments for reconsideration, including both written and telephonically
• Identify contract protection that can be leveraged to overturn denials.
• Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
• Identify problem accounts/processes/trends and escalate as appropriate
• Utilize effective documentation standards that support a strong historical record of actions taken on the
• Ability to perform basic math to ensure accurate statement of accounts receivable
• Meet the productivity and quality standards of the organization
• Timely completion and comprehension of all educational requirements
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”.

Skills and Experience

• English - Written and verbal communication skills in English (English Level B2+).
• Must have a high school diploma.
• Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
• Ability to read and interpret medical records is a plus
• Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
• Interpersonal skills - able to work effectively with other employees, patients and external parties
• PC skills - demonstrates proficiency in Microsoft Office applications and others as required
• Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
• Technical skills - Professional presentation skills needed to represent facilities in legal.

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About Auxis

Auxis places a high priority on employee growth and development, fostering an environment where you can advance in your career. Our culture empowers you to perform at your best, aligning with our team's shared goals. We are continuously working to enhance our culture and environment, investing in tools to gain better insights into the heartbeat of our organization.

Benefits:

• Comprehensive health benefits covering medical, vision, and dental.
• Transportation subsidy.
• Solidarity Association.
• Training and development programs.
• Employee recognition program.
• Generous paid time off and family leave.
• Enjoy a paid day off on your birthday!