Appeals and Denials Coordinator
Remote
Hourly Compensation: $20 – $25 Houlry DOE
Why Choose GMR? Global Medical Response (GMR) and its family of solutions are dedicated to delivering compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. Here you’ll embark in meaningful work that will make an impact on you and the customers we service. View our employees’ stories on how we provide care to the world at www.AtaMomentsNotice.com.
The Medical Appeals and Denials Coordinator assists the Medical Appeals and Denials team by monitoring Medicare Administrative Contractor (MAC) portals and retrieving documents that require a response from GMR. This individual will help with the tracking of these requests and responses and assist the team with processing appeals as time allows.
Essential Duties and Responsibilities:
- Access, monitor and retrieve documents from various MAC portals
- Memorialize documents requiring production in a Smartsheet spreadsheet
- Assist with reviewing documents prior to forwarding to a MAC or other payor to ensure all information is legible and responsive to the request
- Assist with contacting operations, hospitals or other care providers when additional documentation is needed to support the billing and appeal process
- Prioritize and organize a high volume of work and meet deadlines
- Complete required reports and assist with special projects as assigned
- Adhere to all company policies and procedures
- Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems
Minimum Qualifications:
- Experience in a fast-paced medical billing environment preferred
- Experience with ambulance coding and appeals is highly desirable
Education/Licensing/Certification:
- High School diploma
- Certified Ambulance Coder (CAC) preferred
Knowledge and Skills:
- Knowledge of HCPCS and ICD-10; Knowledge of Correct Coding Initiative; prior experience navigating payor and clearinghouse websites preferred
- Computer experience
- Involvement with Medicare, Medicaid, HMO, and PPO appeals process and results preferred
- Advanced verbal and written communication skill required
- Ability to handle a very high volume of work with speed and accuracy is essential
To learn more about GMR and how our values are at the core of our services and vital to how we approach care, visit www.GlobalMedicalResponse.com .
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EEO Statement
Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.
Check out our careers site benefits page to learn more about our benefit options.