POSTED June 21

Appeals Clerk (Remote) at RestorixHealth

  • Data Entry
  • Fulltime
  • Anywhere (100% Remote) Only
Job Description

Indeed's salary guide

  • Not provided by employer
  • $40.8K - $51.6K a year is Indeed's estimated salary for this role in Los Angeles, CA.

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Full Job Description

Job Summary: This position will be responsible for the essential job duties of reviewing and understanding Medicare Appeals decisions and performing the necessary data entry to document the decisions. The position will also require skills in patient documentation gathering and organization in preparation for submission to various requestors. Administrative assistance to managers and Appeals Coordinators in various projects will be expected. A strong proficiency in Adobe Acrobat for documentation organizing and editing and Excel for data entry and work tracking and analysis is essential for completing the job duties.

Primary Responsibilities:

  • Reading and comprehending various Medicare and Medicare contractor documents (Redetermination/Reconsideration decisions/Audit Notices etc.)
  • Understanding of the Medicare Appeals Process (timelines involved, documentation requirements etc.)
  • Ability to meet daily deadlines imposed by Appeals and Audit timelines.
  • Understanding our internal audit response process (timelines, programs involved, documentation requirements etc.)
  • Alerting Appeals Assistant Manager of any irregularities or items of note in Medicare documentation being reviewed.
  • Professional correspondence via email with Appeals management and staff regarding assignments.
  • Heavy alpha-numeric data entry into excel/and Multiple CRM databases
  • Ability to update multiple CRM system databases with specific data found on Medicare and Medicare contractor documentation.
  • Assembly of documentation from multiple sources to be presented to requestor, filing and photocopying.
  • Providing assistance in processing mail (opening letters, date stamp, sorting, etc.)
  • Audit of internal documentation to comply with Medicare rules and regulations.
  • Other duties as assigned.Additional Responsibilities:
    Education and Technical Skills:
  • 1-2 years in a professional office environment
  • High School graduate
  • Proficient Microsoft Office skills, specifically Excel
  • Competent in Adobe Acrobat document editingAdditional Eligibility Qualifications/Competencies:
  • Detail oriented
  • Good interpersonal, verbal, and written communication skills
  • Excellent organization skills
  • Ability to problem solve and work independently
  • Strong data entry skills, 10 key proficient preferred
  • Reliable and contributing team memberAt RestorixHealth, we grow talent. When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally and vertically. This is a career destination for engaged, caring, passionate and talented people who want to make a difference. We are the leader in the development and management of comprehensive wound healing and Amputation Prevention Center facilities.

    RestorixHealth is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender, age, religion, disability, sexual orientation, veteran status or marital status. 

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