EVERGREEN - Licensed Appeal Writer - Remote

Job description

Job Purpose The Licensed Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals. Working closely with nurses and other team members, the Licensed Appeal Writer creates appeal letters in support Duties & Responsibilities: - Review denied insurance claims - Review patients’ medical files - Develop strategies to reverse claim denials - Create written appeals - Manage and organize appeal workflow based on internal, client-based, and insurance-driven deadlines - Other duties as assigned - Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards - Understand and comply with Information Security and HIPAA policies and procedures at all times - Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications: - 4-year degree or work equivalency required - Must hold an active license as a Physician's Assistant (PA), Registered Nurse (RN), Nurse Practitioner (NP), Licensed Practical Nurse (LPN), Physical Therapist (PT), Occupational Therapist (OT), or an equivalent professional license - M...