Medical Appeals Specialist – Remote

As a Remote Medical Denials / Appeals Specialist at Community Health Systems – Shared Services Center, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, and building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and student loan repayment programs. The Remote Medical Denials / Appeals Specialist position is remote and full time, which is 40 hours per week. The orientation, training hours will be Monday-Friday from 8:00am-4:30pm CST for approximately 1 month. After orientation and training, your working hours will be Monday-Friday from 8:00am-5:00pm CST.

Required Experience:

• 1+ years experience in healthcare revenue cycle setting

Preferred Experience:

• 1+ years experience in healthcare revenue cycle setting including chart review, denial processing

Essential Duties and Responsibilities:

• Responsible for review and resolution of pre pay insurance denials, correlating with the follow-up teams. (20%)
• Works closely with Denial Coordinator, Facility Denial Liaison, and Managed Care Coordinator for education and payer accountability. (20%)
• Consults with managers and staff on developmental needs for new processes and makes recommendation to change. (20%)
• Maintains knowledge of practice management systems, basic coding and billing knowledge, customer service techniques, basic insurance/carrier knowledge, and front office operation policies. (20%)
• Gathers and makes available appropriate educational resources (e.g. books, video tapes/audio). Works with associates and departments to understand denial/appeal management processes. (20%)
• This is a fully remote opportunity.

We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.

Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

Read Full Description