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Healthcare Appeals Associate
@Tlnt
[Hiring] Healthcare Appeals Associate @Tlnt
Apr 05, 2025 - Tlnt is hiring a remote Healthcare Appeals Associate. 💸 Salary: competitive salary. 📍Location: Mexico.
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
This role involves working as a Healthcare Appeals Associate to scale efforts in transforming the healthcare system through payer-provider collaboration.
- Draft insurance appeals using advanced legal, clinical, and technical vocabulary.
- Research medical studies, insurance contracts (EOC/COC), court decisions, federal/state laws, and coverage guidelines to support each case.
- Interpret health insurance policies and apply knowledge of covered benefits, medical necessity, and network exception laws.
- Work with CPT/ICD-10/HCPCS coding systems to build the strongest possible clinical arguments (training provided).
- Use generative AI tools as a co-pilot to accelerate drafting and increase effectiveness.
- Call insurers and providers to verify authorization statuses and move the case forward.
- Maintain CRM case records and documentation, keeping everything organized and up to date.
- Help build a better system; your ideas will directly influence how operations scale and impact lives.
- Create and maintain SOPs, templates, and internal documentation for appeals and workflows.
- Guide patients through the appeal journey with clarity and empathy via email or phone.
- Advocate with heart; your work may help someone get life-changing (or even life-saving!) surgery.
Qualifications
- Bachelor’s degree required. Preferred fields include law, public health, medicine, biology, journalism, or policy.
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Experience in one or more of the following:
- Health insurance appeals or prior authorization.
- Medical-legal research or health policy.
- Patient advocacy or nonprofit healthcare work.
- Utilization management or case review.
- Bonus if you’ve worked with: CPT/ICD-10 codes, AI writing tools, CRM platforms, or medical documentation.
- A stellar writer who can explain complex ideas clearly and persuasively.
- Deeply curious, comfortable researching clinical literature and payer rules.
- Empathetic and driven by impact — you care about changing lives.
- Exceptionally detail-oriented and able to manage multiple cases and deadlines.
- Comfortable working remotely, independently, and using digital tools.
Benefits
- Competitive Salary.
- This is a full-time, long-term position.
- The position is immediately available and requires entering into an independent contractor agreement with TLNT.
- Work from home.
- Monday through Friday, 8 am to 5 pm (+/- 1 hour accepted) - PST.
- Additional perks.
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| 📍 | Be aware of the location restriction for this remote position: Mexico |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
Back to Remote jobs >
All others
All others
|
Salary
💸
competitive salary
|
Remote
Location
Mexico
|
|
Job Type
full-time
|
Posted
Apr 05, 2025
|
️
| 📍 | Be aware of the location restriction for this remote position: Mexico |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
