Previous Healthcare Experience: You should have prior experience in areas such as A&G, medical management, prior authorization, utilization management, or running a doctor’s office.
Exceptional Customer Service: We value exceptional customer service in a healthcare setting, and your ability to empathize with our members is crucial.
Insurance Knowledge: Familiarity with various insurance lines of business, including HMO and PPO, is a plus.
Strong Writing and Typing Skills: Effective communication through written correspondence is a fundamental aspect of this role.
Proficiency in Excel: You should be well-versed in using Excel to handle data and s.
Education: A high school diploma or GED is required.
Compensation
As a Healthcare Appeals/Denials Coordinator, you will enjoy competitive compensation and benefits:
Hourly Pay: $22 per hour.
Employee Benefits: Full-time employees are eligible for benefits after 90 days of employment.
401(k) Plan: Full-time employees with one year of service on our eligibility dates can take advantage of our 401(k) plan with a company match.
Position Highlights
Work Schedule: The work schedule for this role is Monday through Friday, with staggered shifts between 8:00 am and 6:00 pm. Flexibility is limited, and candidates must accept the assigned shifts.
Responsibilities
As a Healthcare Appeals/Denials Coordinator, your primary responsibilities include:
Member Interaction: Engage with our members, document their needs, and conduct research using various resources and systems. You will also communicate with providers and members while liaising with internal and external parties.
Written Communication: Formulate written responses to members, with a strong emphasis on effective writing skills. Meeting deadlines is essential in this role.
Performance Expectations/Metrics
To excel in this position, you should meet the following expectations:
Availability: Be available and reachable during all working hours.
Training Commitment: During new hire training, candidates may be required to attend in-person training sessions with non-flexible dates and times.
Schedule Adherence: Adhere to the provided and agreed-upon schedule, as this department does not offer flexible scheduling.
Goal Achievement: Meet departmental goals and deadlines while fostering a collaborative team environment and applying critical thinking skills.
Writing Skills: Demonstrate strong writing skills in all communication with members and colleagues.
If you are ready to embark on a rewarding career that combines healthcare expertise, customer service excellence, and professional growth, we invite you to apply for the Healthcare Appeals/Denials Coordinator position with our organization. Join us in our commitment to improving healthcare access and outcomes for our valued members.
Salary: $ 22.00 Per Hour
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