New York Licensed Appeal Writer

Job Summary

A company is looking for a Licensed Appeal Writer to support the review of denied insurance claims on behalf of client hospitals.

Key Responsibilities

• Review denied insurance claims and patients' medical files
• Create written appeals and manage appeal workflow based on various deadlines
• Ensure compliance with HIPAA standards regarding patient information

Required Qualifications

• 4-year degree or equivalent work experience required
• Active license as a PA, RN, NP, LPN, PT, OT, or equivalent professional license
• Ability to prioritize workload based on strict deadlines
• Proficiency in Microsoft Office Suite and ability to learn new software quickly
• High level of reading comprehension and ability to analyze medical information