Jr Appeals Collector

You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services. This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.

As an appeals underpayment collector for one of the leading healthcare services providers, you will be monitoring the claims process to ensure timely reimbursement to the provider to keep medical expenses fair to the patient.

• Triage incoming inventory for the Appeals team, validating appeal criteria is met
• Compose technical denial arguments for reconsideration, including both written and telephonically
• Identify contract protection that can be leveraged to overturn denials.
• Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
• Identify problem accounts/processes/trends and escalate as appropriate
• Utilize effective documentation standards that support a strong historical record of actions taken on the account.
• Ability to perform basic math to ensure accurate statement of accounts receivable
• Meet the productivity and quality standards of the organization
• Timely completion and comprehension of all educational requirements
• Practice and adhere  to  the  “Code  of  Conduct”  philosophy  and  “Mission  and  Value Statement”
• Other duties as assigned.

• English – Spanish Language (Oral and writing 85% or higher), (C1 or above).
• Must have a high school diploma.
• At least 6 months of experience in Customer Service positions.
• This job adjusts to the Eastern Time Zone and follows a US holiday schedule.
• Strong customer service skills
• Excellent communication skills
• Ability to work independently and collaboratively
• Attention to detail
• Comfortable multitasking in a high volume/high demand environment
• Good presentation and a polite, tactful, and friendly character.

Auxis places a high priority on employee growth and development, fostering an environment where you can advance in your career. Our culture empowers you to perform at your best, aligning with our team's shared goals. We are continuously working to enhance our culture and environment, investing in tools to gain better insights into the heartbeat of our organization.

Benefits:

• Comprehensive health benefits covering medical, vision, and dental.
• Transportation subsidy.
• Solidarity Association.
• Training and development programs.
• Employee recognition program.
• Generous paid time off and family leave.
• Enjoy a paid day off on your birthday!