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HCA Healthcare · 1 day ago

Appeals Specialist

United States

Full-time

Remote

Entry Level

1+ years exp

HCA Healthcare is a leading provider of healthcare services, and they are seeking an Appeals Specialist to join their team. The role involves performing end-to-end tasks for technical appeals, including reviewing records, composing denial arguments, and documenting actions taken on accounts.

BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care

Responsibilities

Review records for the Appeals team, validating appeal criteria is met

Compose technical denial arguments for reconsideration

Identify contract protection to leveraged overturn denials

Argue appeals that prevent claim payment and gain commitment for payment

Document historical records of action taken on accounts

Qualification

Technical appeals expertiseRecord validationDenial argument compositionContract protection identificationDocumentation skills

Required

1 year of related experience is required

Benefits

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

Free counseling services and resources for emotional, physical and financial wellbeing

401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

Employee Stock Purchase Plan with 10% off HCA Healthcare stock

Family support through fertility and family building benefits with Progyny and adoption assistance.

Referral services for child, elder and pet care, home and auto repair, event planning and more

Consumer discounts through Abenity and Consumer Discounts

Retirement readiness, rollover assistance services and preferred banking partnerships

Education assistance (tuition, student loan, certification support, dependent scholarships)

Colleague recognition program

Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Company

HCA Healthcare

Glassdoor3.3

HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.

Founded in 1968

Nashville, Tennessee, USA

10001+ employees