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Appeals Analyst-100% Remote
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Job Description
- Req#: 1337
Employer Industry: Medical Claims Solutions
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely, providing flexibility in your work environment
- Engage with innovative technology and processes in the medical claims industry
- Collaborative and supportive team atmosphere
- Chance to make a meaningful impact on insurance claims processes and client satisfaction
What to Expect (Job Responsibilities):
- Conduct comprehensive reviews on provider bill denials to determine when an appeal is received
- Review and respond to provider bill appeals on auto claims for multiple carriers
- Identify problematic issues or concerns and address them with the appropriate departments
- Ensure the application of NJ state auto PIP regulations
- Process bill reviews for auto claims utilizing the MyMedlogix system
What is Required (Qualifications):
- Bachelor's degree from an accredited college or university
- Knowledge of prior carrier or adjuster experience
- Knowledge of New Jersey No Fault PIP regulation, 1-2 years preferred
- Excellent problem-solving, critical thinking, and decision-making skills
- Good communication skills, able to communicate clearly and succinctly, both verbally and in writing
How to Stand Out (Preferred Qualifications):
- 1-2 years of experience in a related role within the medical claims or insurance industry
- Strong organizational skills to manage multiple tasks effectively
#MedicalClaims #RemoteWork #CareerGrowth #InsuranceIndustry #EqualOpportunityEmployer
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