UM Appeals Support Specialist

A company is looking for a UM Appeals Follow-up Support Specialist. Key Responsibilities Obtain service authorization and monitor authorization compliance for Medicare and Non-Medicare services Assist with the appeals process and respond to clinical information requests in accordance with regulatory guidelines Prepare appeal summaries, correspondence, and document information for tracking and trending data Required Qualifications High School diploma or GED Preferred 1 year of post High School business or college coursework Minimum of two (2) years of experience in medical insurance, medical records, or medical office Experience with Medicare, State, Hospice, HMO, PPO, and traditional insurance regulations preferred EPIC or electronic medical record experience preferred

Mar 17, 2025 - 17:01

A company is looking for a UM Appeals Follow-up Support Specialist. Key Responsibilities Obtain service authorization and monitor authorization compliance for Medicare and Non-Medicare services Assist with the appeals process and respond to clinical information requests in accordance with regulatory guidelines Prepare appeal summaries, correspondence, and document information for tracking and trending data Required Qualifications High School diploma or GED Preferred 1 year of post High School business or college coursework Minimum of two (2) years of experience in medical insurance, medical records, or medical office Experience with Medicare, State, Hospice, HMO, PPO, and traditional insurance regulations preferred EPIC or electronic medical record experience preferred