Licensed Appeal Writer - Remote

Med-Metrix is seeking a dedicated Licensed Appeal Writer to join our team in a fully remote capacity. In this role, you will play a critical part in supporting our client hospitals by reviewing denied insurance claims and crafting compelling appeal letters to secure necessary payments.

Key responsibilities

• Review denied insurance claims and analyze patients' medical files to identify opportunities for reversal.
• Develop effective strategies to challenge claim denials and draft professional, persuasive appeal letters.
• Manage and organize your appeal workflow to ensure all internal and insurance-driven requirements are met.
• Maintain strict compliance with HIPAA standards and information security policies when handling protected health information.
• Collaborate with nurses and other team members to ensure accurate and timely documentation.

Requirements

• Active professional license as a Registered Nurse (RN), Physician's Assistant (PA), Nurse Practitioner (NP), Licensed Practical Nurse (LPN), Physical Therapist (PT), or Occupational Therapist (OT).
• Four-year degree or equivalent professional work experience.
• Exceptional reading comprehension skills with the ability to analyze complex medical terminology.
• Strong problem-solving abilities, sound judgment, and the capacity to prioritize tasks under pressure.
• Proficiency in Microsoft Office Suite and the ability to quickly master new software systems.

What we offer

• The opportunity to work in a fully remote environment with a focus on professional growth.
• A collaborative team culture that values integrity, dependability, and results-oriented performance.
• Engagement in meaningful work that directly supports healthcare providers and patient access to care.