licensed appeal WriterMed-Metrix

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-Metrix!Experience these exceptional benefits when you join Med-Metrix!
8-Hour Shifts
Day 1 HMO with 2 of your dependents covered for FREE
Medical Cash Allowance
Rice Allowance
Clothing Allowance
Free Lunch Daily
Paid Time Off
Training and Staff Development
Employee Engagement Activities
Opportunities for Internal Mobility
Job PurposeThe 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
Create written appeals
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.
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
Med-Metrix

Pasig City, Metro Manila
Permanent
Full-time