Clinical Appeals Liaison at Lifepoint Health

DescriptionJob Title: Clinical Appeals LiaisonLocation: Central Time ZoneSchedule: Full TimeYour experience mattersAtLifepoint Health we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here youre not just valued as an employee but as a person.Heres 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 youll contributeAs 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.Youll 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 usWe believe that investing in our employees is the first step to providing excellent patient 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 opportunitiesWhat were looking forMust be licensed as a RN PT or OTMinimum of 2 years of Inpatient Rehabilitation Hospital experienceMinimum 3 years of clinical experienceExcellent oral and written communication and interpersonal skills.EEOC StatementLifepoint 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. Key Skills Presentation Skills,Time Management,Clinical Research,Communication skills,GCP,Infusion Experience,Managed Care,Hospice Care,Conflict Management,Clinical Trials,Research Experience,Home Care Employment Type : Full-Time Department / Functional Area: Business Development Experience: years Vacancy: 1