Hiring: Remote Collections Appeal Advocate (Health Insurance Underpayments Work from Home)

Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities. 

Collections Appeal Advocate 

Work Location:  Fully Remote – U.S. (Anywhere)

Position: 

Validation and pursuit of underpaid accounts via web portals, payer packages, and phone collections. Submission of written disputes/appeals of underpaid accounts, as well as coordination with clinical staff for medical denial disputes/appeals. Balancing appropriate collections follow up with new incoming inventory validation/pursuit, as well as providing appropriate documentation and progressive action stepping for account resolutions and revenue generation. 

Core Responsibilities: 

Research and review facility systems/remits to determine Clients’ actions/due diligence taken on underpaid/denial claims, as well as payers’ processing responses and outcomes. 

Actively validate, pursue and collect on denials and underpaid accounts utilizing web portals, payer packages, and phone collections. 

Accurately write and submit hospital claim underpayment and denial disputes to insurance companies. 

Provide proper and accurate documentation and action updates into various systems. 

Monitor inventory volumes and provide timely account follow-up. 

Prioritize workloads using use tools and resources in the most efficient manner to produce the highest levels of Revenue. 

Requirements: 

H.S. Diploma or GED required 

2 years’ experience insurance company collections experience, preferably with hospital claims 

Preferred Qualifications: 

Strong decision making and problem-solving skills are needed, coupled with an ability to work independently with minimal supervision. 

Knowledge of CPT-4/HCPC/DRG/ICD/HCPCs, and Revenue codes, and familiarity with HIPAA privacy guidelines. 

Ability to multitask and set priorities on multiple projects for the highest rate of returns. 

Working Conditions/Physical Requirements: 

Remote office with high-speed internet 

General office demands 

Heavy phone work.  Most of your day spent on the phone 

Unique Benefits*: 

Flexible work environments 

Ready, Set, Grow Career Development Center & access to Change Healthcare University for continuous professional learning & development with more than 5,000 training assets 

Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships 

Employee wellbeing programs and generous health plans 

Educational assistance programs 

US 401(k) or Group RRSP (Canada) savings plans with matching employer contributions 

Be sure to ask our Talent Advisors for more information on location specific benefits and paid time off policies 

Learn more at https://careers.changehealthcare.com 

*Eligibility for some benefits may be limited or not available for part-time employees, be sure to speak with your Talent Advisor. 

#LI-remote 

New York and New Jersey Residents Only: The salary range for New York City, NY and Westchester County, NY is $34,730 – $60,360.  The salary range for Ithaca, NY is $30,200– $50,300.  The salary range for Jersey City, NJ is $36,240 – $60,360.  Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Change Healthcare offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with Change Healthcare, you’ll find a far-reaching choice of benefits and incentives. 

Diversity, Equity & Inclusion: 

• At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
• Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity

Feeling Inspired? Ready to #MakeAChange? Apply today! 

COVID Vaccination Requirements 

We remain committed to doing our part to ensure the health, safety and well-being of our team members and our communities. As such, some individuals may be required to disclose COVID-19 vaccination status prior to or during employment. Certain roles may require COVID-19 vaccination and/or testing as a condition of employment. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. 

Equal Opportunity/Affirmative Action Statement 

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information,  national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf. 

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with “Applicant requesting reasonable accommodation” as the subject. Resumes or CVs submitted to this email box will not be accepted. 

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy. 

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information. 

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws. 

Carefully Reviewed By EffizoJobs