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
Managed Care Analyst • Orange, California, United States