Managed Care Appeals Analyst

Job Summary

A company is looking for a Managed Care Appeals Analyst.

Key Responsibilities

• Research closed $0 balance accounts for underpayment amounts due from payors according to contracts
• Create detailed appeals for accounts not reimbursed as per established contracts
• Monitor payments for accuracy and resolve outstanding amounts with payors

Qualifications and Requirements

• Associate or bachelor's degree in a related field or equivalent work experience
• Minimum of one year of healthcare-related experience in auditing
• 4+ years of experience in revenue cycle and appeals writing
• Proficient knowledge of reimbursement methodologies and medical billing terminology
• Intermediate skills in Microsoft applications and basic understanding of HIT systems