Appeal Writer

3 weeks ago

Pasig, Philippines Med-Metrix Full time

Overview

Join to apply for the Appeal Writer role at Med-Metrix in Pasig, National Capital Region, Philippines.

Job Purpose

The Appeal Writer supports the organization by reviewing insurance claims denied for payment on behalf of our client hospitals. Working closely with nurses and other team members, the Appeal Writer creates appeal letters in support of claim payment.

Duties and Responsibilities
  • Review denied insurance claims
  • Review patients’ medical files
  • Develop strategies to reverse claim denials
  • Manage and organize appeal workflow based on internal, client-based, and insurance-driven deadlines
  • Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Qualifications
  • Must be a Registered Nurse . US RN, not required
  • Must have at least 1 year of experience in a hospital setting
  • Must be able to prioritize workload based on strict deadlines
  • Must be a strong, effective writer
  • Must be tech-savvy with ability to quickly learn new software
  • Must possess a high level of reading comprehension and ability to analyze medical information and terminology
  • Thorough training provided
Working Conditions
  • Work Set-Up: Onsite
  • Work Schedule: Night shift, US hours
  • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
  • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
  • Work Environment: The noise level in the work environment is usually minimal.
Seniority level
  • Associate
Employment type
  • Full-time
Job function
  • Writing/Editing
Industries
  • Hospitals
#J-18808-Ljbffr

  • Appeal Writer

    5 days ago

    Pasig, National Capital Region, Philippines Med-Metrix Full time ₱900,000 - ₱1,200,000 per year

    Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with Med-MetrixExperience these exceptional benefits when you join Med-Metrix8-Hour ShiftsDay 1 HMO with 2 of your dependents...

  • Licensed Appeal Writer

    2 weeks ago

    Pasig, National Capital Region, Philippines Med-Metrix Full time ₱900,000 - ₱1,200,000 per year

    Job DescriptionJoin our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with Med-MetrixExperience these exceptional benefits when you join Med-Metrix8-Hour ShiftsDay 1 HMO with 2 of...

  • Clinical Nurse Auditor

    8 hours ago

    Pasig, Philippines Visaya KPO Full time

    WE'RE HIRING! Ortigas Site Clinical Nurse Appeals Writer (For Active Pooling) Visaya KPO is on the lookout for experienced and dedicated PHRN/USRN professionals to join our growing team! Why Join Us? HMO & Retirement Benefits 15% Night Differential 24 Leave Credits per Year Holistic Wellness Programs Qualifications: PHRN/USRN with 3+ years of...

  • Clinical Nurse Auditor

    4 weeks ago

    Pasig City, Philippines Visaya KPO Full time

    WE'RE HIRING! Ortigas Site Clinical Nurse Appeals Writer (For Active Pooling) Visaya KPO is on the lookout for experienced and dedicated PHRN/USRN professionals to join our growing team! Why Join Us? HMO & Retirement Benefits 15% Night Differential 24 Leave Credits per Year Holistic Wellness Programs Qualifications: PHRN/USRN with 3+ years of...

  • LinkedIn Marketing Specialist

    1 week ago

    Pasig, Philippines Azeus Systems Limited Full time

    Responsibilities: Developing and managing the overall social media strategy for the productPlanning, designing, and implementing campaigns on social media especially LinkedIn to boost brand awarenessMonitoring, analyzing, and reporting on website performance and marketing metricsTapping into online platforms such as Facebook, LinkedIn and GoogleWorking with...

  • LinkedIn Marketing Specialist

    7 days ago

    Pasig, Philippines Azeus Systems Limited Full time

    Responsibilities: Developing and managing the overall social media strategy for the productPlanning, designing, and implementing campaigns on social media especially LinkedIn to boost brand awarenessMonitoring, analyzing, and reporting on website performance and marketing metricsTapping into online platforms such as Facebook, LinkedIn and GoogleWorking with...

  • LinkedIn Marketing Specialist

    6 days ago

    Pasig, Philippines Azeus Systems Limited Full time

    Responsibilities: Developing and managing the overall social media strategy for the product Planning, designing, and implementing campaigns on social media especially LinkedIn to boost brand awareness Monitoring, analyzing, and reporting on website performance and marketing metrics Tapping into online platforms such as Facebook, LinkedIn and Google Working...

  • LinkedIn Marketing Specialist

    3 days ago

    Pasig, National Capital Region, Philippines Azeus Systems Limited Full time

    Responsibilities:Developing and managing the overall social media strategy for the productPlanning, designing, and implementing campaigns on social media especially LinkedIn to boost brand awarenessMonitoring, analyzing, and reporting on website performance and marketing metricsTapping into online platforms such as Facebook, LinkedIn and GoogleWorking with...