Appeals Senior Associate - (Bedford, TX)

Supports Appeal/Dispute project regarding recoupments for business. Proactively communicate with claimants, providers and leadership to resolve investigation issues and communicate decisions/rationale for denial/approval. Responsibilities: -Updates appeal/dispute tracking system. -Consults with Appeals Leadership regarding technical claims issues. -Determines required expert resources at each juncture and solicits input. -Based on appeal/dispute investigation, determines whether claim is reconsidered or original denial was appropriate. Working hours: 8:00 AM - 5:00 PM Skills: -Familiarity with Texas Medicaid/Medicare regulations, claims, medical terminology and coding. -Outstanding communication & problem-solving skills. Education: High-school Background: Experienced Requirements: one year of Healthcare related skills is required. High-school diploma/GED is required. Now Hiring Sr. Appeals Associates in Bedford!