Job Summary
A post-acute healthcare organization has an open position for a Remote Clinical Reimbursement Appeals Analyst in Trenton.
Candidates will be responsible for the following:
- Reviewing patient medical records for clinical evidence
- Preparing written communications that justify denied claims be paid
- Applying regulatory compliance knowledge
Must meet the following requirements for consideration:
- Licensed Physical, Occupational or Speech Language Therapist
- Significant experience in the healthcare industry
- Knowledge of regulatory requirements for reimbursement
- Knowledge of Medicare billing practices and Explanation of Benefits
- Proficiency in understanding CMS Requirements