Appeals Specialist
Passionate about making a difference in healthcare, technology, and precision medicine?
Recent advancements in underlying technology have finally made it possible for AI to impact clinical care in a meaningful way. Tempus' proprietary platform connects an entire ecosystem of real-world evidence to deliver real-time, actionable insights to physicians, providing critical information about the right treatments for the right patients, at the right time.
Responsibilities
- Manages submission, intervention, and resolution of Medicare and commercial insurance appeals
- Conducts pertinent research, evaluates, responds and completes appeals accurately, timely and in accordance with all established regulatory guidelines
- Meticulously documents appeal responses from Medicare and commercial payers
- Identify issues and suggests potential improvements in Tempus’ appeal process and procedures
- Participate in projects that extend beyond your day to day to stretch you to think outside the box
Qualifications
- Ability to complete a high volume of successful appeal requests in a timely and highly effective manner
- Highly analytical and detail-oriented
- Exceptional communication skills, both written and phone
- Results oriented, highly energetic, dynamic individual with hands-on mentality
- Proven ability to learn new skills quickly and adapt to new processes smoothly
Required Education & Experience
- BS in Healthcare Management or Business preferred, December 2020 & May 2021 grads welcome to apply!
- Willing to consider applicants with Associates Degree and 5+ years healthcare experience
- One year of Medicare appeals experience, Part B preferred
- Prior laboratory billing experience preferred
- Familiar with Microsoft office and Google suite applications (e.g. Sheets, Docs)
#LI-IY1