Third Party Liability & Appeals Specialist

Role Overview

• Maintain subject matter expertise for all lines of business (LOB)
• Support Manager in writing/reviewing Appeal letter language
• Process appeals in accordance with established standards and workflow
• Generate reports, monitor and address trends within appeals and reconsiderations

Requirements

• Bachelor's Degree in healthcare or related field, preferred
• Health Plan appeal experience, preferred
• 8+ years of experience in claims, insurance, or TPL recovery; workers compensation, coordination of benefits, and subrogation
• Certification Revenue Cycle Representative (CRCR), a plus

Benefits

• Health insurance
• Flexible work arrangements
• Professional development