Appeals Administrator- Anchorage, AK (Onsite)
About The Position
As Appeals Administrator, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Responsible for reviewing appeal requests for complete information, and returning incomplete requests to providers; researching appeal requests and making decisions on type of appeals; logging appeals into the existing tracking system. Responsible for performing job functions within the allotted timeframe in order to meet client requirements.
Requirements
- Ability to work both independently and as part of a team
- Strong communication skills, with the ability to communicate clearly and effectively in writing and verbally
- Intermediate understanding of Microsoft Office products.
- Organizational, analytical and problem-solving skills
Responsibilities
- Review and research suspended medical claim appeals
- Log appeals into the tracking system
- Maintain necessary documentation
- Participate in meetings and process improvements sessions as necessary
- Train as a back-up for other areas, such as document control, courier, and customer service desk
Benefits
- flexible vacation policy
- 401(k) employer match
- comprehensive health benefits
- educational assistance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
