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Collections Appeal Advocate (Health Insurance Underpayments) - Remote, US

Company: Change Healthcare
Location: Little Rock
Posted on: January 16, 2022

Job Description:

Collections Appeal Advocate (Health Insurance Underpayments) Overview of Position Validation and pursuit of underpaid accounts via web portals, payer packages, and phone collections. Submission of written disputes/appeals of underpaid accounts, as well as coordination with clinical staff for medical denial disputes/appeals. Balancing appropriate collections follow up with new incoming inventory validation/pursuit, as well as providing appropriate documentation and progressive action stepping for account resolutions and revenue generation. What will be my duties and responsibilities in this job? + Research and review facility systems/remits to determine clients' actions/due diligence taken on underpaid/denial claims, as well as payers' processing responses and outcomes. + Actively validate, pursue and collect on denials and underpaid accounts utilizing web portals, payer packages, and phone collections. + Accurately write and submit hospital claim underpayment and denial disputes to insurance companies. + Provide proper and accurate documentation and action updates into various systems. + Monitor inventory volumes and provide timely account follow-up. + Prioritize workloads using use tools and resources in the most efficient manner to produce the highest levels of Revenue. What are the requirements needed for this position? + 2 years' experience with insurance company collections, preferably with hospital claims. + High school diploma or GED required. + Strong decision making and problem-solving skills are needed, coupled with an ability to work independently with minimal supervision. + Knowledge of CPT-4/HCPC/DRG/ICD/HCPCs, and Revenue codes, and familiarity with HIPAA privacy guidelines. + Ability to multitask and set priorities on multiple projects for the highest rate of returns. What are the working conditions and physical requirements of this job? + Remote office. General office demands + Heavy phone work. Most of your day will be spent on the phone. How much should I expect to travel? + 0% Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement. Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system! COVID Mandate As a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment. As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved. Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf. If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted. Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy. California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare's Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) . Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws. Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

Keywords: Change Healthcare, Little Rock , Collections Appeal Advocate (Health Insurance Underpayments) - Remote, US, Accounting, Auditing , Little Rock, Arkansas

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