Managed Care Appeals Analyst

Job Summary

A company is looking for a Managed Care Appeals Analyst.

Key Responsibilities

• Research and review closed $0 balance accounts for underpayment amounts due from payors
• Create detailed appeals for accounts not reimbursed according to 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 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 recent 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