AK Appeals administrator | Anchorage, AK

Detailed Information

  • Location: Anchorage, AK

  • Company: Gainwell Technologies

career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary Responsible for reviewing appeal requests for complete information, and returning incomplete requests to providers; researching appeal requests and making decisions on type of appeals; logging appeals into the existing tracking system. Responsible for performing job functions within the allotted timeframe in order to meet client requirements. Your role in our mission Review and research suspended medical

claim appeals Log appeals into the tracking system Maintain necessary documentation Participate in meetings and process improvements sessions as necessary Train as a back-up for other areas, such as document control, courier, and customer service desk What we're looking for Ability to work both independently and as part of a team Strong communication skills, with the ability to communicate clearly and effectively in writing and verbally Intermediate understanding of Microsoft Office products.

Organizational, analytical and problem-solving skills What you should expect in this role Hybrid #LI-HYBRID #LI-LS2 The pay range for this position is 37,500 - $53,500 per year, however, the base

pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at HMS , a Gainwell Company. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone.

Build your career with HMS , a Gainwell Company , an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about HMS , A Gainwell Technologies Company at our company website and visit our Careers site for all available job role openings. HMS, a Gainwell Company is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), interactionual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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