Appeals Specialist - Work From Home

  • HCA
  • Richmond, VA, USA
  • Feb 09, 2018

Job Description

Job Code: 08648-140089


No Weekends

*WORK FROM HOME - Requirements*
  • ON-SITE Training REQUIRED in Richmond, VA
  • Internet Connectivity requirements - At a minimum :

- Cable or DSL (Digital Subscriber Line)

- Minimum Download Speed: 1+MB/S

- Minimum Upload Speed: 512+KB/S

- Minimum Latency: under 90ms
  • Please contact your internet service provider for verification of the specifications listed above.

Appeals Specialist

The Appeals Specialist is responsible for performing end to end tasks for technical appeals:

  • 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 account.
  • Ability to perform basic math calculations, to ensure accurate statement of accounts receivable
  • Ability to punctuate properly, spell correctly and transcribe accurately

  • High school diploma or GED required

  • Minimum one year experience in related area required
  • Strong Microsoft Excel experience required
  • The ability to read and interpret medical records preferred

Parallon is an Equal Opportunity Employer (EOE), minority/Female/Veteran/Disabled, offering a great work environment, challenging career opportunities, and competitive compensation.

Parallon is an affiliate of Hospital Corporation of America (HCA Holdings, Inc.) and is a leading provider of healthcare business and operational services. Parallon supports healthcare providers in the areas of revenue cycle (billing, collections, denial management), technology, patient registration, insurance verification, and health information management.

We offer free parking, training support, competitive salary and excellent benefits to include several insurance package options for Medical, Dental and Vision; Paid Time Off for vacation, sick leave and holidays, Employer-paid Short Term Disability, Company matching 401K and more!


Last Edited: 02/12/2018