Medicare Appeals Clerk (Full Remote)
Medicare Appeals Clerk (Full Remote)
Morgan Stephens
Long Beach, CA
See who Morgan Stephens has hired for this role
Job Title: Medicare Appeals Clerk
Location: 100% Remote
Pay: $20.00 hour and up
Time Zone Requirements: PST / PDT
Job Type: Full-Time
Schedule: 9AM PST-530 PM PST Wednesday-Sunday
Overview: The Medicare Appeals Clerk is responsible for performing various clerical functions, including data entry, to support the Medicare Appeals team. This role includes entering appeals into the system, creating appeal packets for external review, making outbound phone calls to members and providers, and monitoring the department inbox.
Must-Have Requirements
Location: 100% Remote
Pay: $20.00 hour and up
Time Zone Requirements: PST / PDT
Job Type: Full-Time
Schedule: 9AM PST-530 PM PST Wednesday-Sunday
Overview: The Medicare Appeals Clerk is responsible for performing various clerical functions, including data entry, to support the Medicare Appeals team. This role includes entering appeals into the system, creating appeal packets for external review, making outbound phone calls to members and providers, and monitoring the department inbox.
Must-Have Requirements
- Experience with Medicare Appeals
- Perform data entry for appeals
- Create appeal packets for external review
- Make outbound phone calls to members and providers
- Monitor the department inbox
- Sort, date stamp, and distribute mail/faxes/packages daily within set time frames
- Assist in maintaining files as needed
- Scan and print documents as requested
- Mail and file all department documents accurately and efficiently
- Keep printers and printer areas stocked
- Prepare mailings and packages
- Coordinate, upload, and maintain department documents for multiple health plans using multiple applications
- Provide clerical support to various teams, including PIM, Recovery, Medicare, Legal Affairs, Medical Affairs, and Member Services
- PIM:
- Assign work from incoming Outlook boxes based on defined assignments
- Recovery:
- Data entry into department applications with accuracy and efficiency
- Medicare:
- Order new hire equipment (e.g., cell phones, computers, security access)
- Listen to sales records and capture pertinent information
- Order department supplies as requested
- Create help desk tickets and act as liaison for facilities department requests
- Legal Affairs:
- Create binders as requested
- Create help desk tickets
- Answer department phones
- Medical Affairs:
- Contact members and providers regarding outreach materials as needed
- Data entry into department applications with accuracy and efficiency
- Member Services:
- Compile and post departmental scorecards
- Assist with basic reporting needs
- Stock and maintain department supplies
- Excellent verbal and written communication skills
- Ability to abide by Managed Care Organization's policies
- Maintain regular attendance based on the agreed-upon schedule
- Maintain confidentiality and comply with HIPAA
- Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers
- Demonstrated adaptability and flexibility to changes and responsiveness to new ideas and approaches
- High School Diploma or equivalent
- 0-2 years of experience
- PC experience in a Windows environment
- Experience using Microsoft Word
- Filing experience preferred
- Experience with customer service
-
Seniority level
Entry level -
Employment type
Full-time -
Job function
Health Care Provider -
Industries
Staffing and Recruiting
Referrals increase your chances of interviewing at Morgan Stephens by 2x
See who you knowGet notified about new Medical Clerk jobs in Long Beach, CA.
Sign in to create job alertSimilar jobs
People also viewed
-
Medical/Dental Biller - Remote
Medical/Dental Biller - Remote
-
Medical Coder - Remote | WFH
Medical Coder - Remote | WFH
-
Medical Biller and Coder - Remote | WFH
Medical Biller and Coder - Remote | WFH
-
Remote Hospital Coder
Remote Hospital Coder
-
Inpatient Coder (Remote)
Inpatient Coder (Remote)
-
Certified Medical Coder - 227858
Certified Medical Coder - 227858
-
Inpatient Medical Records Coder
Inpatient Medical Records Coder
-
Outpatient Coding Specialist - Remote | WFH
Outpatient Coding Specialist - Remote | WFH
-
Remote Inpatient Coder - CCS, RHIA or RHIT Certification
Remote Inpatient Coder - CCS, RHIA or RHIT Certification
-
Medical Coder (Remote)
Medical Coder (Remote)
Looking for a job?
Visit the Career Advice Hub to see tips on interviewing and resume writing.
View Career Advice Hub