Appeals Coordinator | Full-Time – 11 am to 8 pm ET

Position Type: Full-Time – 11 am to 8 pm ET

Office Location: Onsite position in Newtown Square, Pa

Versalus Health is an innovative, rapidly growing physician-led organization that helps hospitals improve financial performance by benchmarking hospital performance by payer and functional area, identifying sources of lost revenue or risk, creating and implementing operational solutions to address the issues uncovered, and monitoring ongoing results. The company has a vibrant culture that strives to promote a positive work-life balance while allowing professionals to utilize their skills in an environment that positively impacts healthcare.

Job Description and Responsibility:

  • Management of the denials process through the Versalus proprietary system
  • Perform denial research and follow-up work with insurance companies via phone to resolve appeals which have been submitted but remain without a determination
  • Determine and document appeal time frames and payer process per facility
  • Data entry of account status into multiple databases
  • Cross-trained on various functions within the department such as case entry support, Peer to Peer support and appeals support
  • Other responsibilities as requested by management

Skills:

  • Detail-oriented
  • Works independently, but is a team player
  • Able to work in a fast-paced environment
  • Possess good verbal and written communication skills
  • Comfortable communicating to others over the phone
  • Required to keep all client and sensitive information confidential
  • Strict adherence to HIPAA/HITECH compliance

Education & Experience:

  • High School Diploma or equivalent required
  • Bachelor’s degree preferred
  • Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines
  • Prior experience of accessing hospital EMR’s and Payer Portals preferred
  • Proficient in MS Word and Excel
  • Accurate keyboard skills

Physical Requirements:

May be expected to sit at a desk for long hours.  Repetitive movement of hands and fingers – typing and/or writing. Occasional standing, walking, stooping, kneeling or crouching. Ability to reach with hands and arms, talk, and hear. Exert up to 20 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.

Versalus Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law.

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