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Appeals Manager

Company: VirtualVocations
Location: Rockford
Posted on: July 6, 2024

Job Description:

A company is looking for an Appeals Manager.
Key Responsibilities:

Lead and manage the claims appeals process
Ensure appeals are filed in accordance with payer requirements
Analyze appeal trends and outcomes, identify patterns, improve processes, and report findings

Required Qualifications:

5-7 years of managerial experience in laboratory and insurance billing, specifically leading appeals process
Strong understanding of insurance claim processes, healthcare regulations, HIPAA, and compliance
Advanced knowledge of payer requirements
Experience in billing for genetic testing with Tier 1 and Tier 2 Molecular Pathology codes
Experience using Google Apps, Mac OS X, and CRM applications (i.e., Salesforce) XiFin and careviso

Keywords: VirtualVocations, Rockford , Appeals Manager, Executive , Rockford, Illinois

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