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Remote Appeals Analyst Jobs in Nebraska (NOW HIRING)

Remote Billing Specialist

Lincoln, NE · On-site +1

$18.25 - $24.75/hr

Remote Billing Specialist TELCOR Revenue Cycle Services (RCS) is a billing service designed to ... This includes but is not limited to working payer denials and appeals by performing analysis and ...

Remote Billing Specialist

Lincoln, NE · On-site +1

$16.75 - $22.75/hr

Remote Billing Specialist TELCOR Revenue Cycle Services (RCS) is a billing service designed to ... This includes but is not limited to working payer denials and appeals by performing analysis and ...

$93K - $110K/yr

This is a remote role open to any location in continental US Manulife is a leading international ... The incumbent will analyze decisions without compromising overall underwriting policies and should ...

Epic Denials Management Operator

Omaha, NE · Remote

$17.25 - $23/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Remote Appeals Analyst information

What is a remote appeals analyst?

A Remote Appeals Analyst is a professional who reviews, processes, and evaluates insurance claims and appeals from a remote location, often working from home. Their role typically involves analyzing denied or disputed insurance claims, gathering relevant documentation, and determining whether appeals are justified based on policies and regulations. They communicate findings to insurance companies, healthcare providers, or clients, and may draft appeal letters or recommend further actions. Strong analytical, communication, and organizational skills are essential for this job, along with a good understanding of insurance policies and healthcare regulations.

What are the key skills and qualifications needed to thrive as a remote appeals analyst?

To thrive as a Remote Appeals Analyst, you need a solid understanding of healthcare claims processing, medical terminology, and insurance regulations, often supported by a relevant degree or prior experience in medical billing or claims review. Familiarity with claims management software, electronic health record (EHR) systems, and sometimes certification such as Certified Professional Coder (CPC) is typically required. Strong analytical thinking, attention to detail, and effective written communication skills help you clearly articulate appeals and resolve claim issues. These skills and qualifications are crucial for ensuring accurate and timely resolution of appeals, compliance with regulations, and maintaining positive payer relationships.

How does a remote appeals analyst typically collaborate with other departments while working remotely?

As a Remote Appeals Analyst, you’ll regularly collaborate with departments such as claims processing, customer service, and medical review teams through virtual meetings, email, and secure messaging platforms. Effective communication and organizational skills are crucial since you’ll often need to clarify details, gather documentation, and coordinate resolutions on appeal cases from a distance. Many organizations use workflow management software to streamline this collaboration, ensuring appeals are resolved efficiently while maintaining compliance and confidentiality.

What are popular job titles related to Remote Appeals Analyst jobs in Nebraska?

For Remote Appeals Analyst jobs in Nebraska, the most frequently searched job titles are:

What job categories do people searching Remote Appeals Analyst jobs in Nebraska look for?

The top searched job categories for Remote Appeals Analyst jobs in Nebraska are:

What cities in Nebraska are hiring for Remote Appeals Analyst jobs?

Cities in Nebraska with the most Remote Appeals Analyst job openings:

Remote Billing Specialist

TELCOR Inc

Lincoln, NE • On-site, Remote

$18.25 - $24.75/hr

Full-time

Posted 9 days ago


Job description

Remote Billing Specialist
TELCOR Revenue Cycle Services (RCS) is a billing service designed to manage the unique nuances of laboratory billing by using TELCOR's industry-leading RCM SaaS solution to provide the highest returns for our customers. We are searching for a talented and engaged remote billing professional to join our team and provide operational revenue cycle tasks for RCS customers. This includes but is not limited to working payer denials and appeals by performing analysis and investigation of individual scenarios while identifying trends within current worklists or across future/past worklists in order to continuously improve quality and efficiency for customer outcomes, as well as RCS success. The Billing Specialist will also follow-up on unpaid balances to obtain payment and determine when to bill a patient and when to assign work back to the customer to review.
Employees in this position will work remotely, unless the employee prefers to work in the office. In that case, accommodations may be able to be made depending on space availability in the Lincoln, NE office.
Copy and paste the following link into your browser to learn more about TELCOR and what it means for TELCOR to be a certified Great Place To Work®:
https://www.greatplacetowork.com/certified-company/7054288
Requirements of the Remote Billing Specialist Position
  • Must be able to uphold confidentiality and comply with federal, state and company policy/procedures
  • Ability to meet performance expectations set forth by supervisors and leadership team
  • Ability to effectively and professionally communicate, both in writing and verbally with tact, diplomacy and respect for others
  • Must be able to work independently and within a team to achieve individual and team goals
  • Must have strong computer skills and be able to leverage and navigate using technology to complete daily tasks (e.g. Excel, electronic documentation storage and retrieval, keyboarding and mouse navigation, email/outlook)
  • Self-motivated, analytical, quick learner, organized, detail oriented, multitask, resilient, self-disciplined in time management
  • Knowledge of payer requirements, clearinghouse portal navigation and appropriate interpretation of information is preferred
  • Knowledge of CPT, HCPCs modifiers, ICD-10 codes and EOB interpretation is preferred
  • Minimum of (1) year of medical or healthcare related billing or revenue cycle experience preferred
  • Must have high school diploma or GED

TELCOR is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status, or any other characteristic protected by law.
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