(Full-Time, Remote) The Appeals Specialist II is responsible for follow-up of all appeals submitted. This individual manages denial/appeal correspondence and performs timely follow-up for appeal determinations. This individual also is responsible for accurately entering data into the Appeal Tracker. Quality work is imperative for the department to run efficiently. As an Appeals Specialist II at Community Health Systems, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and student loan repayment programs. **Required:** + Experience: A minimum of year related experience + Education: H.S. Diploma + Computer Skills: To perform this job successfully, an individual should have knowledge of Word Processing software, Spreadsheet software and E-mail software **Preferred:** + Education: Associate’s Degree (A.A.) or Bachelor’s degree (B.S. or B.A.) **Essential Functions** + Manages workflow for all incoming appeal determination letters & audit correspondence via centralized email and isynergy folders + Accurately vets accounts; meets or exceeds quality & quantity benchmark targets as established (productivity/PDFU) + Directs Cerner/ClaimIQ/BARRT requests to appropriate parties (including CAU 2nd level referrals) for appeal review & validation. + Completes Cerner/ClaimIQ/Artiva requests within 72hours and documents appropriately + Manages PDFU to assure timely follow-up of accounts to effectively move through the revenue cycle + Accurately enters data into the Appeal Tracker, Cerner/ClaimIQ/Artiva, or other programs + Submits requests for medical records, ub’s, and itemized bills as needed + Ability to perform all other duties as assigned or requested + Ensure confidentiality of all patient accounts by following HIPAA guidelines + **This is a remote position.** We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 70 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. INDSSFLRCSC To Apply, please email bria_toney@chs.net Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.