Appeals Assistant

University Hospitals

Appeals Assistant collaborating with health care teams for timely and efficient delivery of services. Managing denial and appeal processes to support patient outcomes in a healthcare setting.

Posted 7/23/2026full-timeRemote • Ohio • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in denial and appeal management, with strong analytical skills to support accurate reporting and trend identification. Proficient in medical terminology and effective communication, fostering collaboration within interdisciplinary teams.

Highest-signal resume keywords

Denial ManagementAppeal ManagementUtilization ManagementMedical TerminologyClient Service

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Billing ExperienceAnalytical SkillsProblem SolvingTyping SkillsReport Production

Soft Skills

Detail-OrientedOrganizedCommunication SkillsRelationship BuildingTeam Player

Tools & Technologies

Microsoft Office SuitePC ProficiencyGeneral Office Equipment

Certifications & Qualifications

High School Equivalent / GEDAssociate's Degree

Industry Keywords

Managed CareInterdisciplinary TeamRevenue CyclePatient CareHealth Care Team

About the role

Key responsibilities & impact

Collaborates and coordinates with all members of the health care team, patient and family (or significant others)
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
Research and record appeals outcomes and produce reports related to denial and appeal outcomes

Requirements

What you’ll need

High School Equivalent / GED (Required) and Associate's Degree (Preferred)
2+ years of hospital or physician office billing or Utilization Management/Case Management department experience (Required)
Experience in managed care (Preferred)
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)
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)

Benefits

Comp & perks

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
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