Appeals Specialist
Location: Birmingham, Alabama
Description: Restore Therapy Services is looking of Appeals Specialist right now, this job will be designated in Alabama. Detailed specification about this job opportunity please read the description below. Restore Therapy is currently looking for an Appeals Specialist to work in our Home Office in Pelham, Alabama. This position-
Reviews denials, researches documentation, and requests additional docum! entation in preparation for response
Writes appeal letters for all appeal levels
Conducts administrative law judge hearings
Cooperatively works with regional DOCS to identify trends/training needs related to documentation, reimbursement and coding
Provides onsite and offsite training in documentation/coding as directed by the Director of Appeals Management
Acts as Intermediary Liaison by ensuring proper reimbursement of claims, researching current LCDs, and advocating for the necessity of skilled services
Acts as Professional Association Liaison by researching changes in current clinical trends and keeping current on legal/ethical issues affecting our therapy practices
Qualified candidates for the Appeals Specialist position will have-
Active PT, OT, or SLP license, in good standing
Ability to travel
3 years experience, some long term care experience required
Good knowledge of Microsoft Word, Excel and Outlook
Ability to ! work cooperatively and positively with therapists, customers, ! and coworkers
Demonstrated ability to communicate and train in a multi-disciplinary environment
Strong attention to detail
Strong ability to effectively manage time and adhere to strict deadlines
EOE M/F/D/V
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If you were eligible to this job, please give us your resume, with salary requirements and a resume to Restore Therapy Services.
Interested on this job, just click on the Apply button, you will be redirected to the official website
This job starts available on: Sat, 29 Jun 2013 09:34:47 GMT