Appeals Executive (US Healthcare Domain Only) - Vashi

Claimpower

1 - 4 years

2 - 4 Lacs

thane navi mumbai

Posted:-1 days ago| Platform:

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Skills Required

appeals rejection claims us healthcare denials denial management rcm

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities

Required candidate from science background/at least aware of medical terms.
Ability to communicate clearly and professionally, both verbally and in writing.
Strong decision making and analytical abilities.
The candidate must have a basic understanding of medical billing and should be familiar with CPT codes.
The candidate should be capable of interpreting notes and comprehending the requirements.
Candidate should be knowledgeable about denials to avoid unnecessary appeals if necessary.
The candidate should be well-versed in the various state insurances and policies for appeals.

Preferred candidate profile

Bachelors degree in a medical field (Preferred)
Minimum of 2 years of appeals experience in a payer-based environment
Excellent written and oral communication skills
Strong critical thinking, analytical, research and organizational skills
Basic knowledge and understanding of medical coding and claims processing

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