You haven't searched anything yet.
About Sound:
Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states. Founded in 2001, and with specialties in emergency and hospital medicine, critical care, anesthesia, and telemedicine, Sound has a reputation for innovating and leading through an ever-changing healthcare landscape — with patients at the center of the universe.
About the Team:
Sound Advisory Services provides high-quality concurrent and secondary case reviews and advisory services to hospital partners nationwide. Our unique approach includes both remote advisory services and the option for an onsite medical director of advisory services.
About the Role:
The Clinical Appeals and Denials Support Specialist (CADSS) will report to the Manager of Appeals & Peer to Peer Operations. Primary responsibility but not limited to- follow up on outstanding appeals at 30, 45, 60, and 75 intervals. Proficient in navigating and documenting within internal document system. CADSS will access Insurance companies’ payer portals to ensure appeal has been processed, navigate site for necessary associated updates. Make outbound phone calls to insurance companies to ensure appeal receipt, outcome, and next course of action. Documentation of all activity and updates to ensure timely notification of appeal outcomes and next steps. Hourly monitoring of the appeals queue to ensure clients appeal request are acknowledged, pertinent necessary data has been uploaded, and assigned to a physician advisor. Prepare Medical record for appeal writer. Provide as needed administrative and operational support for the Clinical Support Specialist.
The Details: 3 month - temporary contract, remote work from home, full-time 40 hours
In this role, you will be responsible for:
What we are looking for:
A successful candidate will have a demonstrated track record of a combination of these values, knowledge, and experience:
Values:
Knowledge:
Experience:
Sound Physicians is an Equal Employment Opportunity (EEO) employer and is committed to diversity, equity, and inclusion at the bedside and in our workforce. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by federal, state, or local laws.
This job description reflects the present requirements of the position. As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.
#ZR
Part Time
$78k-96k (estimate)
04/24/2024
06/22/2024