Medicare Claims Analyst

Job is Expired

Location: Alabama, Arizona, Arkansas, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin

Compensation: To Be Discussed

Reviewed: Fri, Sep 22, 2023

Job Category: Healthcare

Employer Type: Employer

Career Level: Experienced

Job Summary

A company is looking for a Medicare Claims Analyst.

Key Responsibilities:

Thoroughly review managed care contracts and compare them against Medicare claims to identify underpayments
Examine Medicare Advantage claims and calculate reimbursement based on contract terms
Contact insurance companies to obtain missing information, resolve underpayments, and arrange for payment processing

Required Qualifications:

Accounts receivable collections experience from payors
Ability to effectively identify and communicate payor trends
Mathematical skills to calculate rates using addition, subtraction, multiplication, and division
Experience working with ICD-9, CPT-4, and/or HCPCS coding systems
Experience performing account resolution with third-party payors

COMPLETE JOB DESCRIPTION

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Job is Expired

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