Managed Care Appeals Analyst

A company is looking for a Managed Care Appeals Analyst.

Key Responsibilities

Research and review $0 balance accounts for contractual reimbursements and post necessary adjustments

Create detailed appeals for underpaid services and contact payors for clarification on claims issues

Document research outcomes and ensure compliance with productivity standards and policies

Qualifications and Requirements

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

Minimum of one year of healthcare-related experience in auditing

Over four years of experience in revenue cycle, hospital reimbursement, and appeals writing

Proficient knowledge of reimbursement methodologies and claims data analysis

Intermediate skills in Microsoft applications and basic understanding of HIT systems