Admissions Manager
Charlie Health
Salary
💰 $50,000 - $55,000 per year
Job Level
Mid-LevelSenior
About the role
- Ensure compliance with HIPAA regulations including privacy and confidentiality
- Coordinate and respond to post-service appeals to managed care/insurance denials
- Conduct comprehensive reviews on provider bill denials to determine appeals
- Review and respond to provider bill appeals on auto claims for multiple carriers
- Maintain multiple databases pertaining to denials and case management
- Apply New Jersey state auto PIP regulations
- Process bill review for auto claims using the MyMedlogix system
- Identify problematic issues and address with appropriate departments
- Handle post-service appeals for multiple states
- Other duties as assigned
Requirements
- Bachelor’s degree from an accredited college or university
- Knowledge of prior carrier or adjuster experience
- Knowledge of New Jersey No Fault PIP regulation (1-2 years preferred)
- Experience with post-service appeals and medical claims processing
- Proficiency with proprietary software and MyMedlogix system
- Excellent problem solving, critical thinking and decision-making skills
- Good communication skills, able to communicate clearly and succinctly, both verbally and in writing
- Good organizational skills
- Ability to work in a climate-controlled office environment when required
- Minimal physical requirements
