Jr Appeals Specialist

• Triage incoming inventory for the Appeals team, validating appeal criteria is met
• Compose technical denial arguments for reconsideration, including both written and telephonically
• Identify contract protection that can be leveraged to overturn denials.
• Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
• Identify problem accounts/processes/trends and escalate as appropriate
• Utilize effective documentation standards that support a strong historical record of actions taken on the
• Ability to perform basic math to ensure accurate statement of accounts receivable
• Meet the productivity and quality standards of the organization
• Timely completion and comprehension of all educational requirements
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”.

• English - Written and verbal communication skills in English (English Level B2+).
• Must have a high school diploma.
• Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
• Ability to read and interpret medical records is a plus
• Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
• Interpersonal skills - able to work effectively with other employees, patients and external parties
• PC skills - demonstrates proficiency in Microsoft Office applications and others as required
• Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
• Technical skills - Professional presentation skills needed to represent facilities in legal.

• Comprehensive health benefits covering medical, vision, and dental.
• Transportation subsidy.
• Solidarity Association.
• Training and development programs.
• Employee recognition program.
• Generous paid time off and family leave.
• Enjoy a paid day off on your birthday!

Auxis