Jr Appeals Specialist - Heredia, Costa Rica - Auxis

Auxis

Empresa verificada

Heredia, Costa Rica

hace 1 semana

Publicado por:

Andrea Rodríguez

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Descripción

Job Summary:
***The Appeals Specialist is responsible for performing end to end tasks for technical appeals.

Responsibilities:

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
Ability to perform basic math to ensure accurate statement of accounts receivable
Meet the productivity and quality standards of the organization
Timely completion and comprehension of all educational requirements
Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"

Skills and Experience:
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Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
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Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
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Interpersonal skills - able to work effectively with other employees, patients and external parties
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Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems

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Technical skills:

Professional presentation skills needed to represent facilities in legal

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Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
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Clinical
skills - **ability to read and interpret medical records a plus
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Education

High School Diploma

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English

Written and verbal communication skills in English (English Level B2).

About Auxis:
Auxis prioritizes employee growth and development to help you advance your career. Auxis' culture empowers you to be your best in the interest of a common team goal.

We are constantly striving to improve our culture and environment and have invested in tools to continue to have better visualization of the pulse of our organization.