Role: Support healthcare organisations by reviewing denied insurance claims and creating appeal letters to reverse claim denials. You’ll work closely with nurses and team members to help get claims approved for hospital clients.
Duties & Responsibilities:
- Review denied insurance claims and patients’ medical files
- Develop strategies to reverse claim denials
- Create written appeals supporting claim reversals
- Manage and organize appeal workflow based on internal and insurance-driven deadlines
- Handle confidential patient health information securely and in compliance with relevant privacy regulations
- Learn and follow information security and privacy policies at all times
- Other duties as assigned
Skills/background needed:
- An active professional license in a healthcare field (such as Nurse, Physical Therapist, or equivalent)
- Bachelor’s degree or equivalent work experience
- Ability to prioritize workload and meet strict deadlines
- Comfortable learning new software and tools quickly
- Strong reading comprehension and ability to understand medical information and terminology
- Proficiency with Microsoft Word and Microsoft Excel
- Excellent written and verbal communication skills
- Strong problem-solving and analytical skills
- Ability to work collaboratively with team members at all levels
- High level of integrity, dependability, and attention to detail
- Ability to handle stress and work with a sense of urgency
Working Conditions:
This is a fully remote role. You’ll need a smartphone or electronic device capable of downloading applications for security purposes. You’ll primarily sit at a computer, using standard office equipment. The work environment is generally quiet, and you’ll collaborate with others remotely. Full training will be provided on all systems and processes.
Contract length: Permanent
Rate: Competitive entry-level pay, details shared upon application.
Location: Remote – work from home, open to applicants worldwide.
Ready to get started? Submit your application below.