Managed Care Appeals Analyst

A company is looking for a Managed Care Appeal Analyst to perform remote work in the healthcare sector.

Key Responsibilities

Review $0 balance accounts for accurate contractual reimbursement and post adjustments as needed

Create detailed appeals for underpaid services and verify eligibility and claim status with payors

Document outcomes of research and maintain compliance with policies while meeting productivity standards

Qualifications and Requirements

Associate or bachelor's degree in a relevant field, or four years of relevant work experience in lieu of a degree

Minimum of one year of healthcare-related experience in auditing

Four or more years of experience in revenue cycle, hospital reimbursement, and appeals writing

Proficient knowledge of reimbursement methodologies and medical billing terminology

Intermediate skills in Microsoft applications and basic understanding of HIT systems