Contract Duration: 6+ Months with potential to extend or convert
Pay Rate: $24.00
Location: Remote - Must reside in US
Qualifications/Skills Needed
This job would be a good fit for those who have worked as a Medical Assistant, Unit Secretary, Prior Auth Coordinator, Appeals Coordinator, Referral Specialist
Knowledge of appeals, disputes and reconsiderations process preferred.
Medical Office Experience
Prior Authorization Building
Healthcare Claims
Medicaid/Medicare/Ambetter Knowledge
Knowledge of Appeals, Disputes, and reconsideration Process preferred.
High School Dipolma or Equivalent required
MS Office
This is a specialty team with Authorization Builders, Claims Analyst who review pend codes for authoritzation and payment denials. Willing to train the right candidates.
Day To Day Responsibilities Of Role
Supports the documentation and processing of appeals, disputes and reconsiderations to ensure they are in accordance with state and National Committee for Quality Assurance (NCQA) requirements. Support the team to ensure appeals, disputes and reconsiderations are reviewed and processed timely.
Performance Expectations
Meet 50 claim reviews minimum per day
Seniority level
Entry level
Employment type
Contract
Job function
Health Care Provider
Industries
Mental Health Care, Wellness and Fitness Services, and Hospitals and Health Care
Referrals increase your chances of interviewing at Workforce Connections by 2x