Hybrid Appeals Specialist Appeals Specialist

Job Description Summary

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC002309 SYS - Hospital Patient Accounting

Pay Rate Type

Hourly

Pay Grade

Health-23

Scheduled Weekly Hours

40

Work Shift

Job Description

Under general supervision manages denials by conducting a comprehensive, analytic review of clinical documentation to determine if an appeal is warranted. Prepares and submits factual arguments for all appeal submission.

Additional Job Description

High School Diploma or GED and five (5) years’ healthcare experience with patient medical records audits and third party payer regulations. Bachelor’s Degree in related field preferred.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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