
Behavioral Health Appeals Coordinator
We are seeking an experienced and motivated Behavioral Health Appeals Coordinator to join our team at Elevance Health! As a Behavioral Health Appeals Coordinator, you will be responsible for managing the appeals process for behavioral health services requested by members. The ideal candidate will have excellent communication skills, strong attention to detail, and a passion for helping individuals receive the health care they deserve.Qualifications:• Bachelor’s degree in behavioral health, healthcare administration, or related field• Previous experience in a managed care appeals and/or grievance process• Knowledge of applicable health insurance regulations, trends, and best practices• Ability to work effectively with both internal and external stakeholders• Strong communication and problem-solving skills• Proficiency with Microsoft Office SuiteIf you have a commitment to helping people, a desire to make a difference, and are ready to take on a challenging and rewarding role, we would love to hear from you!
Responsibilities of a Behavioral Health Appeals Coordinator:
• Manage the appeals process for behavioral health services requested by members • Ensure compliance with health insurance regulations, trends, and best practices. • Develop and maintain positive relationships with internal and external stakeholders. • Communicate effectively with all stakeholders. • Troubleshoot and resolve issues related to the appeals process. • Monitor and document progress on appeals. • Research and analyze data to identify trends and areas of improvement. • Prepare detailed reports on appeals and grievances. • Maintain an up-to-date working knowledge of applicable regulations. • Utilize Microsoft Office Suite to effectively complete tasks.
Detail-Oriented
Strong Problem-Solving Skills
Excellent Communication Skills
Ability To Work Independently And Collaboratively
Ability To Prioritize Work
Proficiency In Ms Office
Knowledge Of Healthcare Industry Regulations
Experience In Appeals Process/Coordination
Documentation
Insurance
Healthcare
Writing
Negotiation
Compliance
Empathy
Analysis
Organization
Coordination
Problem-Solving
Mediation
Regulatory
Financials
Appeals
Communication
Leadership
Time management
Interpersonal Skills
creativity
Critical thinking
Organizational skills
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Behavioral Health Appeals Coordinator in Indianapolis, IN, USA is $31,000 - $49,000. This range is based on the salaries of professionals in the Indianapolis area with experience in the field. This salary range may be affected by factors such as the size of the employer, the experience of the applicant, and the current market conditions.
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Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.

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