Job Description
About Green Light: Green Light is a fast-growing healthcare technology company dedicated to transforming the industry through innovation and service. We’re seeking an energetic and knowledgeable Claims and Appeals Specialist who thrives in a dynamic environment and is ready to make a meaningful impact. This role is ideal for someone with experience in healthcare claims, appeals, reimbursement, pro
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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