Appeals Assistant Insurance follow up Remote at University Hospitals

Mid

Communication

Coordination

Teamwork

+2 more

Job Description

Appeals Assistant Insurance follow up Remote - (26000116)

Description

A Brief Overview

Collaborates and coordinates with all members of the health care team, patient and family (or significant others) to coordinate and ensure timely and efficient delivery of required workflow, services and tasks to result in: • Support of positive patient health care outcomes • Increased patient/health care team outcomes and satisfaction • Improved inpatient throughput and appropriate length of stay • Improved communication, awareness and adherence to regulatory requirements associated with utilization • Support for inappropriate level of care and decreased inpatient bed day denials • Continuity and coordination of care • Appropriate and timely authorization for level of care • Decreased denials • Appropriate reimbursement

What You Will Do

Perform timely and accurate denial communications and activity; clarify communications as needed, and collect additional information in preparation for Nurse review.
Support the denial/appeal management nurse in collaborating with physicians, UM Nurses, PAS, and other members of the Interdisciplinary team, Revenue
Cycle and payers to collect and relay all pertinent information to support successful appeals.
Document appeal activity according to department standards to support accurate reporting of denial and appeal status, outstanding revenue and to help identify trends (payer, physician, service, DRG, reviewer).
Research and record appeals outcomes and produce reports related to denial and appeal outcomes.

Additional Responsibilities

Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Qualifications

Education

High School Equivalent / GED (Required) and
Associate's Degree (Preferred)

Work Experience

2+ years of hospital or physician office billing or Utilization Management/Case Management department experience (Required) and
Experience in managed care (Preferred)

Knowledge, Skills, & Abilities

Detail-oriented and organized, with good analytical and problem solving ability. (Required proficiency)
Notable client service, communication, presentation and relationship building skills. (Required proficiency)
Ability to function independently and as a team player in a fast-paced environment. (Required proficiency)
Must have strong written and verbal communication skills. (Required proficiency)
Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.). (Required proficiency)
Strong typing skills. (Required proficiency)
Medical Terminology. (Required proficiency)

Physical Demands

Standing Occasionally
Walking Occasionally
Sitting Constantly
Lifting Rarely 20 lbs
Carrying Rarely 20 lbs
Pushing Rarely 20 lbs
Pulling Rarely 20 lbs
Climbing Rarely 20 lbs
Balancing Rarely
Stooping Rarely
Kneeling Rarely
Crouching Rarely
Crawling Rarely
Reaching Rarely
Handling Occasionally
Grasping Occasionally
Feeling Rarely
Talking Constantly
Hearing Constantly
Repetitive Motions Frequently
Eye/Hand/Foot Coordination Frequently

Travel Requirements

Primary Location

: United States-Ohio-Shaker_Heights

Work Locations

: 3605 Warrensville Center Road 3605 Warrensville Center Road Shaker Heights 44122

Job

: Administrative Support

Organization

: UHHS_Revenue_Cycle

Schedule

: Part-time

Employee Status

: Regular - ShiftDays

Job Type

: Standard

Job Level

: Professional

Travel

: NoRemote Work: Yes

Job Posting

: Feb 9, 2026, 5:00:00 AM

Requirements

Collaborate with healthcare team to coordinate patient care
Ensure timely and efficient delivery of required workflow and services
Support positive patient health care outcomes
Increase patient/health care team outcomes and satisfaction
Improve inpatient throughput and appropriate length of stay

Benefits

Health Insurance
Dental Insurance
Disability Insurance
Employee Assistance Program
Paid Time Off

Skills

Communication

Coordination

Teamwork

Patient Care

healthcare

About AI-Estimated Salary

The salary range shown was not provided by the employer. Our AI has estimated it based on the job title, required experience, location, and industry standards (confidence: 80%). This estimate should be used as a general guide only and may not reflect the actual compensation. Always confirm salary details directly with the employer during the application process.

Ready to Apply?

Join University Hospitals today

Salary Range (AI-Estimated)*

$80,000 - $120,000

80% confidence

Posted 8 months ago

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