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Accounts Receivable Representative I - Appeals

Job ID: ACCOU01267
Updated: July 24, 2018
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The Accounts Receivable Representative - Appeals is responsible for drafting, finalizing and sending technical appeal letters in order to reverse a denial for payment on insurance claim. The Representative will begin by reviewing account specifics and evaluating how to follow up with the payer on the denied claim. The Representative will use the provided tools, working within and through the regulations to develop a documented response to the denial and overturn the payer's decision. Technical appeals are to be professional, appropriate with respect to the denial reason, grammatically correct and of the standard to be maintained as supporting documents for the claim. The Representative will stay current with assigned accounts and follow-up on the appeal after submission. Following the action taken within the letter, the Representative notes all accounts appropriately per the objective quality standard.
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