Managed Care Appeals Analyst

A company is looking for a Managed Care Appeals Analyst.

Key Responsibilities

Conduct systematic reviews of $0 balance accounts for contractual reimbursement accuracy

Create detailed appeals for underpaid services and communicate with payor sources to resolve issues

Document research outcomes and ensure compliance with policies and procedures

Qualifications and Requirements

Associate or bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field, or four years of relevant work experience in lieu of a degree

Minimum of one year of healthcare-related experience in auditing

Four 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