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Full-time
bachelor degree, professional certificate
Posted 2d ago
Apply by Sep 30
~40 hrs/week
Responsibilities
The Licensed Appeal Writer is responsible for reviewing denied insurance claims and developing strategies to reverse these denials. They must create professional appeal letters while ensuring all patient information is handled in strict accordance with HIPAA standards.
Requirements
Candidates must hold an active professional license such as an RN, PA, NP, LPN, PT, or OT, and possess a 4-year degree or work equivalency. Strong analytical skills, proficiency in Microsoft Office, and the ability to manage strict deadlines are essential for this role.
Full job description
Job Purpose
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
Duties & Responsibilities
Review denied insurance claims
Review patients’ medical files
Develop strategies to reverse claim denials
Create written appeals
Manage and organize appeal workflow based on internal, client-based, and insurance-driven deadlines
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
4-year degree or work equivalency required
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
Must be able to prioritize workload based on strict deadlines
Must be tech-savvy with ability to quickly learn new software
Must possess a high level of reading comprehension and ability to analyze medical information and terminology
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 required
Gracious and welcoming personality for customer service interaction
Working Conditions
Mustpossess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
About Us: A leader in the Revenue Cycle Management (RCM) industry, we provide healthcare systems, hospitals, and healthcare providers with the right tools, technology, and services to improve the patient experience and revenue collections so they can focus on delivering the highest quality care to those they serve.
How: We accomplish that through proprietary cutting edge technology, advanced analytics, uncompromised service delivery, and highly-trained people who are passionate about getting it done, every day.
Explore Opportunities: Our goal is to provide every employee with opportunities to learn, to grow, to be challenged. To help you get there, we provide thorough skills training through Med-Metrix University based on your job responsibilities and experience level. And, you’ll work closely with your management team to ensure role-specific training, resources, and coaching. See how you can start – or grow – your career at Med-Metrix.
Offices: 9 Entin Road, Parsippany, New Jersey 07054, US · 19176 Hall Rd, Clinton Township, Michigan 48038, US · 331 Newman Springs Rd, Red Bank, New Jersey 07701, US · 100 Quentin Roosevelt Blvd, Garden City, NY 11530, US · 265 Spagnoli Rd, Melville, New York 11747, US
How many Administrative jobs are open in Pasig, Philippines right now?
There are currently 201 open administrative positions in Pasig, Philippines listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Pasig, Philippines?
Companies currently hiring include Acquire Intelligence, IQ-EQ, RealPage, Inc., WSP, Deployed, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Pasig, Philippines?
Yes — 90 of the 201 open administrative positions offer remote or hybrid work (16 remote, 74 hybrid).
How do I apply for Administrative jobs in Pasig, Philippines?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.