FHAS FHAS is a leading provider of medical review, legal review, automated claims review, and administrative support services to government and commercial sectors.

Our Expertise Works to Your Advantage: FHAS handles the toughest, most complex cases with 100% timeliness. As a leading provider of legal support, analysis, adjudication services, & medical claims’ review services in the nation, FHAS has processed over 1.4 million written adjudications, reviews, and reports on behalf of government agencies since its foundation. FHAS’s professional staff is compris

ed of attorneys, hearing officers, technical writers, physicians, nurses, healthcare claims and appeals experts, coders, and investigators. By drawing upon our expertise, FHAS provides a level of service unparalleled in our field. Our value-added customized services include:

• Expertise in Medicare, Medicaid, government benefit programs, and health plan reimbursements
• State-of-the art case docketing and management
• Remote client case access
• Specialized reports for appeals analysis
• Automated claims review software that analyzes medical records and renders coverage determinations

History: Established in 1996, FHAS is certified as a Veteran-Owned Small Business (VOSB). FHAS has also been verified by the state of Pennsylvania as a Small, Diverse Business (SDB), Veteran Business Enterprise (VBE). FHAS has furnished services as either a prime contractor or subcontractor to the Centers for Medicare & Medicaid Services, Department of Veterans Affairs, Department of Homeland Security, Department of Health and Human Services, Department of Justice, PA Department of Human Services, PA Office of General Counsel, and numerous health plans throughout the United States. Experience ‘FHAST’ Pace: FHAS was founded for, and lives in, the space between problem and solution. At our core, we are a company of problem solvers, decision makers, and headache relievers. Our staff has the education, training, and expertise uncommon to other organizations. And, while our ability may be uncommon, we believe it is our commitment to our clients that truly makes us unique.

FHAS is seeking full-time & part-time Data Specialists to join out fast-paced, growing team!If you would like to apply o...
12/15/2023

FHAS is seeking full-time & part-time Data Specialists to join out fast-paced, growing team!

If you would like to apply or learn more about the position, contact us at [email protected].

Happy Memorial Day!
05/29/2023

Happy Memorial Day!

Last Wednesday, FHAS CEO Keith Saunders and President Jim Bobeck were invited to testify at a meeting of the U.S. Senate...
05/22/2023

Last Wednesday, FHAS CEO Keith Saunders and President Jim Bobeck were invited to testify at a meeting of the U.S. Senate Health, Education, Labor & Pensions (HELP) Committee on our organization’s role as a leading Independent Dispute Resolution Entity (IDRE) for the No Surprises Act. For more information about FHAS IDRE services, visit https://www.fhas.com/nosurprises

JOIN OUR TEAM!FHAS is seeking full-time Healthcare Data Specialist for its federal healthcare Dispute resolution team. T...
03/28/2023

JOIN OUR TEAM!

FHAS is seeking full-time Healthcare Data Specialist for its federal healthcare Dispute resolution team. The federal dispute resolution process is the newest and most innovative change to healthcare disputes in the United States. FHAS is one of only a few companies across the United States certified as an Independent Dispute Resolution Entity (IDRE). FHAS needs smart, committed Specialists, who can excel in a fast-paced environment. Specialists must be able to deliver with minimal supervision, identify deficiencies, be a self-starter, adapt to changes, take the lead when needed, and be an excellent communicator.

This is an on-site position located in Plymouth, PA. Local applicants only.

SPECIALIST DUTIES:

• Reviews, analyzes and processes appeals in accordance with external accreditation and regulatory requirements.

• Utilizes guidelines and review tools to conduct research and analyze the appeal issue(s) and pertinent claims and medical records to summarize and route to arbitration for review and determination.

• Upon receipt of determination, analyst will route the file to quality assurance for review.

• Once quality has approved, analyst will ensure proper steps are followed for case finalization.

• The appeal work is subject to applicable accreditation and regulatory standards and requirements. As such, the analyst will strictly follow department guidelines and tools to conduct their reviews.

• The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and other internal departments.

• High level interpreting, analyzing, and entering information into multiple databases.

• Help upper-level management make informed decisions regarding operational workflows.

• Suggest and implement process improvements for data entry, analyzing complex data sets, and reporting your findings to management.

EXPERIENCE & SKILLS:

• Bachelor’s Degree or Associate’s preferred

• 2 years’ experience in data analysis, spreadsheets, workflow
processes, and working in a fast-paced environment with an operational team.

• Microsoft Office experience required

• Basic Computer and search engine skills required

• Strong written and verbal communication skills

• Action-oriented, entrepreneurial, flexible, and innovative approach to Operational work flows

• Medical claims experience is a plus.

Apply at fhas.com/careers

FHAS, Inc. is a leading provider of business processing solutions for healthcare, legal support, and government benefit administration.

01/17/2022

01/14/2022

Seeking RNs and LPNs for full-time remote medical appeal review positions. Unrestricted PA nursing license and 2+ years’ clinical experience required. Claims review & medical coding expertise preferred. Strong written, computer, and Microsoft Word skills required. Position is Monday – Friday, 8:00am-5:00pm, completely remote after 3-4 weeks of on-site training. Competitive salary and benefits package. *Proof of full Covid-19 vaccination required upon hire. Send resume to [email protected].

01/14/2022

Seeking full-time Healthcare Claims Review Specialists. High school diploma required, medical coding and billing experience preferred. Strong written, communication, computer/Microsoft Word skills required. Work completely from home, Monday – Friday, 8am – 5pm. Up to $20/hr. Temporary with potential for permanent position. *Proof of full Covid-19 vaccination required upon hire. Send resume to [email protected].

From all of us at FHAS, we wish you a very merry Christmas and a happy & healthy New Year!
12/24/2021

From all of us at FHAS, we wish you a very merry Christmas and a happy & healthy New Year!

Nurse ReviewerSeeking Nurses for medical appeal review. Need unrestricted PA license as RN/LPN and 2+ years experience. ...
10/22/2021

Nurse Reviewer

Seeking Nurses for medical appeal review. Need unrestricted PA license as RN/LPN and 2+ years experience. Claims review & medical coding expertise preferred. Strong written skills required; Computer/MS Word skills required. Full-Time Positions. Remote Possible.

To apply, visit www.fhas.com/careers.

Hearing OfficerSeeking attorneys, preferably with hearing officer experience (mediation, independent review decisions, a...
10/22/2021

Hearing Officer

Seeking attorneys, preferably with hearing officer experience (mediation, independent review decisions, and/or arbitration experience). FHAS furnishes neutral 3rd party arbitration and mediation services to state and federal entities. Full/Part-time positions.

To apply, visit www.fhas.com/careers.

Healthcare Claims ReviewerSeeking Healthcare Claims Reviewer. Associate degree preferred. Medical coding  experience pre...
10/22/2021

Healthcare Claims Reviewer

Seeking Healthcare Claims Reviewer. Associate degree preferred. Medical coding experience preferred. Strong written communication and Microsoft Word skills required. Ability to work from home after initial training period. Full/Part-Time Positions.

To apply, visit www.fhas.com/careers.

07/06/2020

FHAS.com has a new look! We're excited to announce the launch of our website redesign. http://www.fhas.com/

Address

117 West Main Street
Plymouth, PA
18651

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm

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