Job Description:
The Appeals Coordinator is responsible for coordinating the appeals process, tracking the status of appeals, ensuring timely follow-up, and communicating with patients and providers regarding appeal status.
Key Responsibilities:
- Coordinate and manage the appeals process from start to finish.
- Track the status of appeals and ensure timely follow-up.
- Communicate with patients, healthcare providers, and insurance companies regarding appeal status.
- Prepare and submit appeal documentation accurately and promptly.
- Maintain comprehensive records of appeals, including submission dates, statuses, and outcomes.
- Identify and implement improvements to the appeals process.
- Provide training and support to staff on the appeals process and best practices.
- Ensure compliance with all relevant regulations and guidelines.
Qualifications:
- Bachelors degree in Healthcare Administration, Business, or a related field.
- 2+ years of experience in appeals coordination or a related role.
- Strong understanding of insurance appeals processes and regulations.
- Excellent organizational and time management skills.
- Proficiency in medical billing software and Microsoft Office Suite.
- Strong communication skills, both written and verbal.
- Attention to detail and the ability to work independently.