Appeals Representative
Location: Williamsport, Pennsylvania
Description: TerraHealth Inc. is presently looking of Appeals Representative right now, this career will be reside in Pennsylvania. Further informations about this career opportunity please read the description below. Posting TerraHealth, a division of THI, is seeking energetic, Appeals Representatives for positions in Williamsport, Pennsylvania. TerraHealth is a leading Health Care Services support company. We operate in 32 states with over 400 employees. JOB DESCRIPTION Under general supervision, the Appeals Representative will be responsible for the investigation, research, review, and responses to appeals requests in accordance with documented and approved procedures; research and answer all written inquiries received from insurers, employers, attorneys, Treasury Department , and Medicare contractors. Responsibilities require detailed work in a fast paced environment. To qualify, the successful candidate must be able to attend 4 weeks of paid structured classroom training. Training hours will vary between 7:30 am - 4:00 pm, Monday Friday (2 breaks and a 30 min. lunch).
High School diploma or GED certification is required.
Previous experience working in a fast paced production environment.
This is predominately computer based with limited phone calls made (Appeals occasionally makes calls to providers for clarification reasons)
A minimum of One (1) to three (3) years of experience working with research, interpreting information, and applying analytical decision making skills. Experience is needed researching and making independent decisions based on those guidelines.
Must be able to type at least 45 words per minute .
Ability to work independently and exp navigating through multiple on-line computer screens, keeping track of activity with MS Windows.
Correspondence experience is required. Appeal letters are very detailed and require an understanding of building a letter with the required components.
Prior experience with multiple tasks and organization of pending cases. Some appeal case work is completed in stages. This must be tracked to ensure timely processing.
Prior medical or insurance experience, along with the above-referenced work experience is helpful.
Background checks, reference checks, educational verification and drug screening are required.
In return for your experience, and commitment to the job, THI offers competitive compensation and benefits package including 401K, and a generous PTO (Paid Time Off) package. Interested parties can apply at www.thi-terra.com. .
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.
Requirements:
REQUIREMENTS
- High School diploma or GED certification is required.
- Previous experience working in a fast paced production environment.
- A minimum of One (1) to three (3) years of experience working with research, interpreting information, and applying analytical decision making skills. Experience is needed researching and making independent decisions based on those guidelines.
- Must be able to type at least 45 words per minute .
- Ability to work independently and exp navigating through multiple on-line computer screens, keeping track of activity with MS Windows.
- Correspondence experience is required. Appeal letters are very detailed and require an understanding of building a letter with the required components.
- Prior experience with multiple tasks and organization of pending cases. Some appeal case work is completed in stages. This must be tracked to ensure timely processing.
- Prior medical or insurance experience, along with the above-referenced work experience is helpful.
- Background checks, reference checks, educational verification and drug screening are required.
- .
If you were eligible to this career, please email us your resume, with salary requirements and a resume to TerraHealth Inc..
Interested on this career, just click on the Apply button, you will be redirected to the official website
This career starts available on: Fri, 17 Aug 2012 08:53:41 GMT
Apply Appeals Representative Here