Clinical Appeals Liaison

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.

Job Title: Clinical Appeals Liaison Location: Central Time Zone Schedule: Full Time Your experience matters

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.