Med Metrix is hiring: Appeal Writer in Myrtle Point

Posted Monday, February 10, 2025 at 5:00 AM

Job Purpose

The Appeal Writer supports the Company 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

1. Review denied insurance claims
2. Review patients’ medical files
3. Develop strategies to reverse claim denials
4. Manage and organize appeal workflow based on internal, client-based, and insurance-driven deadlines
5. Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

Qualifications

1. Medical or biology background a plus, but not required
2. Must be able to prioritize workload based on strict deadlines
3. Must be a strong, effective writer
4. Must be tech-savvy with ability to quickly learn new software
5. Must possess a high level of reading comprehension and ability to analyze medical information and terminology
6. Thorough training provided

Working Conditions

1. 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.
2. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
3. Work Environment: The noise level in the work environment is usually minimal.

#J-18808-Ljbffr