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Appeals Specialist

Location: Atlanta, GA, United States
Job # 10938400
Date Posted: 05-09-2018
Title: Appeals Specialist
Location: Atlanta, GA
Pay: $21/hour
Contract to Hire
Start: ASAP

Our client, an industry-leading healthcare information technology company, is seeking an Appeals Specialist for their Atlanta office.  This role is open due to the robust growth of our client’s business.  The current department has 60 on staff with 3 supervisors and they are looking to grow.  This Appeals Specialist will be outgoing and ready to work in a metric driven clinical environment.

Requirements
  • Competent in HIPAA
  • Excellent customer service skills.
  • Knowledgeable of the HCFA, UB04, CPT Codes, Revenue Codes, ICD-9, ICD-10, DRG, modifiers, occurrence codes, NCCI Edits, PPO reduction.
  • Knowledge of Explanation of Benefits for both MVA/WC
  • Detail oriented.
  • Understanding Workers’ Compensation Fee Schedule as well as PIP Statues and Med Pay
  • Strong ability to multitask
  • Previous work experience of submitting appeals to health insurance, Work Comp, or other payers
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