Register
Recruit Create CV
Unfortunately, this job posting is expired.
Don't worry, we can still help! Below, please find related information to help you with your job search.
Related keywords
Some similar recruitments
Research Assistant - Temporary
Recruited by Princeton University 9 months ago Address , Princeton, 08542
Research Specialist I Jobs
Recruited by Princeton University 9 months ago Address , Princeton, 08542
Appeals & Support Specialist Jobs
Recruited by County of Dallas Tax Appraisal District 9 months ago Address , Dallas, 75247 $32,000 - $49,653 a year
Sr. Legal Associate Jobs
Recruited by Atlan 9 months ago Address , Remote
Appeals Reviewer (Remote) Jobs
Recruited by Capitol Bridge 9 months ago Address , Remote $55,000 - $66,622 a year
Temporary - Research Assistant
Recruited by University of Northern Iowa 11 months ago Address Cedar Falls, IA, United States
Legal Research Attorney Jobs
Recruited by Colorado Judicial Branch 11 months ago Address , Grand Junction, Co $5,929 - $8,206 a month
Medicare Billing Specialist Jobs
Recruited by Home Healthcare, Hospice & Community Services (HCS) 1 year ago Address , Remote
Audit & Appeals Analyst Jobs
Recruited by Ensemble Health Partners 1 year ago Address , Remote
Care Coordinator - Appeals
Recruited by CareCentrix 1 year ago Address , Remote $17 an hour
Claims Legal Services Coverage & Research Director
Recruited by Farmers Insurance Group 1 year ago Address , Remote
Research Coop, 40 Hours, Temporary, Gastroenterology
Recruited by Brigham & Women's Hospital(BWH) 1 year ago Address , Cambridge, 02139, Ma
Temporary Legal Research Specialist
Recruited by Bankers Trust 1 year ago Address , Des Moines, Ia

Legal Appeals Research Specialist I

Company

Arkansas Blue Cross and Blue Shield
Address , Little Rock, Ar
Employment type FULL_TIME
Salary
Expires 2023-07-18
Posted at 1 year ago
Job Description
To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click
here
.
Arkansas Blue Cross is only seeking applicants for remote positions from the following states:
Arkansas, Florida, Georgia, Illinois, Kansas, Louisiana, Minnesota, Mississippi, Oklahoma, South Carolina, Tennessee, Texas, Virginia and Wisconsin.
Workforce Scheduling
Flex
Job Summary
Legal Appeals Researcher Specialist assists with organizing and coordinating legal appeals and complaints by efficiently and accurately preparing reports, researching, document gathering, handling inquiries and coordinating work for professional staff
Requirements
Education & Experience:
  • Minimum three (3) years' claims processing or claims research experience.
  • High school diploma or equivalent.
  • Familiarity with CPT, ICD-10 and Medical Terminology
Specialized Knowledge & Skills
  • Multitasking
  • Ability to work independently
  • Highly Organized
  • Problem Solving
  • Microsoft Office Suite
  • Detail-Oriented
  • Professionalism Judgement
  • Medical Terminology
  • Researching
  • Medical Claims Processing
  • Written Communication
  • Confidentiality
  • Self-Motivated Team Player
  • Interpersonal Communication
  • ICD 10 and CPT Coding
  • Verbal Communication
Skills
Ability to work independently, Detail-Oriented, Interpersonal Relationships, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Oral Communications, Problem Solving
Responsibilities
Coordinates adjustment activities with adjustments, claims processing area, medical directors, attorneys and professional staff., Monitors system queue and provides daily reporting of appeals status., Performs other duties as assigned, Requests and reviews medical records related to appeals research, as requested., Researches complaints utilizing multiple systems and resources. Prepares documentation for appeals filing ensuring timely responses.
Certifications
Security Requirements
This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.
Segregation of Duties
Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.
Employment Type
Regular
ADA Requirements
1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting and routinely travels for work within walking distance of location of primary work assignment