Managed Care Appeals Analyst

A company is looking for a Managed Care Appeals Analyst. Key Responsibilities Conduct systematic reviews of $0 balance accounts for contractual reimbursement accuracy Create detailed appeals for underpayments and communicate with payors to resolve issues Document research outcomes and ensure compliance with policies and productivity standards Qualifications and Requirements Associate or bachelor's degree in a related field, or four additional years of relevant work experience 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 claims data analysis Intermediate skills in Microsoft applications and basic understanding of HIT systems

Apr 16, 2025 - 01:15

A company is looking for a Managed Care Appeals Analyst. Key Responsibilities Conduct systematic reviews of $0 balance accounts for contractual reimbursement accuracy Create detailed appeals for underpayments and communicate with payors to resolve issues Document research outcomes and ensure compliance with policies and productivity standards Qualifications and Requirements Associate or bachelor's degree in a related field, or four additional years of relevant work experience 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 claims data analysis Intermediate skills in Microsoft applications and basic understanding of HIT systems