Clinical Appeals Liaison at Lifepoint Health

Franklin, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

24 Jul, 26

Salary

100000.0

Posted On

25 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical documentation review, Insurance denial analysis, Appeal letter writing, Medical necessity determination, Inpatient rehabilitation knowledge, Clinical narrative writing, Federal regulatory compliance, Medical record analysis, Communication skills, Interpersonal skills, Advocacy, Healthcare administration

Industry

Hospitals and Health Care

Description

Clinical Appeals Liaison Remote - Open to Location Full Time Your experience matters At Lifepoint Health, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you’re not just valued as an employee, but as a person. Here’s what makes us stand out: * Specialized Rehabilitation Programs: Tailored care for patients recovering from stroke, brain injury, spinal cord injury, amputation, orthopedic trauma, and other neurological or complex conditions. * Intensive Therapy Model: Patients typically receive at least three hours of physical, occupational, and/or speech therapy per day, five days a week, under the supervision of a rehabilitation physician. * State-of-the-Art Facility: Offers modern therapy equipment, private rooms, and a dedicated team focused on maximizing recovery and quality of life. * 24/7 Medical Support: Around-the-clock nursing and physician oversight ensure continuous care and safety throughout the rehabilitation process How you’ll contribute As a Clinical Appeals Liaison, you will leverage your clinical expertise to review and analyze insurance denials in order to initiate appeal letters. You will understand federal requirements for inpatient rehabilitation facilities. You’ll be responsible for reviewing denied insurance claims for medical treatment, thoroughly analyzing patient medical records to determine if the denial was justified. The Clinical Appeals Liaison will prepare comprehensive appeals packages, including detailed clinical narratives and necessary supporting medical records, for presentation to insurance companies to substantiate and advocate for patient access to necessary care, utilizing your clinical expertise to support the medical necessity of requested services. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: * Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. * Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. * Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. * Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). * Professional Development: Ongoing learning and career advancement opportunities What we’re looking for * Must be licensed as a RN, PT, or OT * Minimum of 2 years of Inpatient Rehabilitation Hospital experience * Minimum 3 years of clinical experience * Excellent oral and written communication and interpersonal skills. Salary range: $65,000-$100,000 per year with bonus potential EEOC Statement Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment." Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country. Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country. We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

Responsibilities

The Clinical Appeals Liaison reviews and analyzes insurance denials for medical treatment to determine justification. They prepare comprehensive appeal packages, including clinical narratives and medical records, to advocate for patient access to care.