Vibra Healthcare LLC Hiring For Clinical Appeals Manager at Mechanicsburg, PA  Full Time

COME BUILD YOUR CAREER WITH VIBRA HEALTHCARE!

We are seeking a Clinical Appeals Manager to join our team!

Responsibilities

The Clinical Appeals Manager is responsible for reviewing and maintaining the appeal log and denial management to ensure that all appeals are submitted accurately and in a timely manner. This individual also serves as a facility representative in communication with Vibra Healthcare facilities, patients, and insurance companies concerning issues affecting patient bills and charges.

Required Skills:

• High School Diploma or equivalent required.
• Current, valid, and active license to practice as a Registered Nurse, Licensed Vocational Nurse or Licensed Social Worker in the state of employment required

Additional Qualifications/Skills:

• Minimum 5 years of case management/clinical experience preferred. Proficient in collecting and retrieving material from medical records.
• Knowledgeable in utilization review, medical
• terminology, appropriate levels of care, treatment, modalities, statues, and healthcare delivery models.
• Communication skills, both written and oral, must be outstanding and practiced with all internal and external business relationships.
• Interpersonal relationship abilities must be highly refined with negotiation and problem solving skills at a very high level.
• Must possess strong clinical assessment and process skills. Critical thinking skills must be demonstrated in all situations Exemplifies Standards of Behavior.
• Ability to project a professional image.
• Knowledge of regulatory standards and compliance requirements.
• Strong organizational, prioritizing and analytical skills.
• Ability to make independent decisions when circumstances warrant.
• Working knowledge of computer and software applications used in job functions.
• Freedom from illegal use of and effects of use of drugs and alcohol in the workplace.

Qualifications

At Vibra Healthcare, employees are our priority. We are passionate about patient care and consider it a privilege to be able to provide services to patients and their family members. Below is a brief summary of our benefits.

* Medical PPO high and low deductible plans / HSA options as well as HMO options in some markets
* FREE prescription plans
* Dental and Vision coverage
* Life insurance
* Disability Benefits
* Employee Assistance Plan
* Flex Spending plans, 401K matching
* Additional Critical Illness, Accident, and Hospital plans
* Company discounts for mobile phone service, electronics, cell phones, clothing, etc
* Pet Insurance
* Group legal – provides legal assistance with personal legal matters
* Tuition and continuing education reimbursement
* Work life balance

At Vibra Healthcare, our patients are family. Healthcare is constantly evolving, our growing organization is devoted to ensuring that each person in our care feels safe. Our world-class team of driven, passionate healthcare professionals are always focused on service excellence and providing top quality care at the bedside. Our culture fosters engagement, diversity and advocacy. Our goal is to empower our employees and support them in their professional growth while leading them on a path to success within our organization.

Per Federal Health Care Worker Vaccine Requirements, all employees must be fully vaccinated against COVID-19 or be approved for a valid religious or medical exemption. Anyone hired by the company must provide proof of their COVID-19 vaccine before they can begin employment or request and be approved for a valid religious or medical exemption.

Vibra Healthcare is an Equal Opportunity/Affirmative Action Employer including Women, Minorities, Veterans and Individuals with Disabilities.