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Appeals Negotiator - Phoenix, AZ - Sign on Bonus up to $7,500
JOB SUMMARY
The appeals negotiator is responsible for ensuring the highest reimbursement for all underpaid contractual and non-contractual payers. The negotiator will build and maintain outstanding relationships with all payers while adhering to PHI reimbursement policies. The negotiator will identify, document, and assist in the collections of all contracted and non-contracted underpayments from the payers. The negotiator will provide and produce thorough supporting documentation regarding additional payment for the level of services that were rendered. This position provides oversight and resolution for claim denials that require written response. This includes denials for medical necessity, low "usual and customary" payments, not to the closest facility, and reduction to ground level payments. This position requires a high level of knowledge in compliance, federal and state regulations, and clinical record information extraction. This position reports to the leadership of Patient Financial Services.
SCHEDULE/LOCATION
QUALIFICATIONS/EXPERIENCE
CORE COMPETENCIES
BEHAVIORAL COMPETENCIES
Full Time
$43k-57k (estimate)
03/17/2024
05/16/2024
phiairmedical.com
Phoenix, OR
500 - 1,000