Manager, Home Health Grievances – Appeals
Location
United States
Posted
54 days ago
Salary
$86.3K - $118.7K / year
Job Description
Job Requirements
- Thorough knowledge of health care policy, industry and related clinical practice
- Project management principles and clinical policy development/implementation
- Knowledge of all Medicare regulations and appeals processes
- Analytical skills with ability to interpret and apply regulatory requirements
- Excellent verbal/written communication and presentation skills
- Knowledge of Payer requirements, ADR requests, Denials, Appeals, RAC/ZPIC and CERT responses
- Must be able to work well independently and in a team environment
- Excellent communication and organizational skills
- Strong attention to detail
- Must read, write and speak fluent English
- Bachelor or Associate degree in Nursing or Other Health Care related fields
- Professional License in current state of residence
- Minimum 5 years’ experience in health care management
Benefits
- Health insurance
- 401(k) retirement savings plan
- Paid time off
- Company and personal holidays
- Volunteer time off
- Paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance
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