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Medical Appeals Specialist (SCA)

Machinify
Location
US
Posted
1 month ago
Department
Operations
What they actually want (must-haves)
  • High School diploma or GED
  • 5+ years in relevant office/administrative/support environment roles, preferably in healthcare
  • Demonstrated knowledge of healthcare audit, appeals processes, claim processing, billing, and recovery processes
  • High level of ability in multi-tasking and prioritizing workload
  • Intermediate MS Excel and MS Word skills
  • Strong knowledge of medical documentation
What the job really is

The Medical Appeals Specialist at Machinify is responsible for managing the reconciliation of appeals from providers and the MAC, ensuring compliance with regulations and company standards. This role involves processing appeal documents, uploading media, and collaborating with various departments to improve workflows. The specialist will work in a dynamic environment, meeting production standards while maintaining high-quality work and communication.

Benefits
  • Work from anywhere in the US
  • Top Medical/Dental/Vision offerings
  • FSA/HSA
  • Tuition reimbursement
  • Competitive salary
  • 401(k) with company match
Things to weigh
  • No specific salary listed beyond the hourly rate of $21.00/hr
  • Role involves a significant amount of administrative tasks which may not appeal to all candidates
  • Requires adaptability to changing needs and requirements
Job score3/5
Benefits4/5
Freshness4/5
Career value3/5
Role clarity4/5
Pay transparency0/5

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