Talent.com
VirtualVocations
Managed Care Appeals AnalystVirtualVocations • Long Beach, California, United States
No longer accepting applications
Managed Care Appeals Analyst

Managed Care Appeals Analyst

VirtualVocations • Long Beach, California, United States
4 days ago
Job type
  • Full-time
Job description
Working remotely on a full-time basis, the Managed Care Appeals Analyst will research closed $0 balance accounts for underpayment amounts due from payors, create detailed appeals, and ensure accurate payments according to established contracts. Key responsibilities Perform daily reviews of $0 balance accounts to ensure appropriate contractual reimbursement Create first and second level appeals for accounts not reimbursed accurately, using supporting information from payor contracts Monitor payments for accuracy and resolve outstanding amounts by contacting payors Required qualifications Associate or bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or 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 experience in revenue cycle, hospital reimbursement, and appeals writing Proficient knowledge of reimbursement methodologies such as DRG, EAPG, OPPS, and APC Intermediate skills in Microsoft applications and basic understanding of HIT systems like EPIC and Cerner
Create a job alert for this search

Managed Care Appeals Analyst • Long Beach, California, United States

Similar jobs

Business Analyst - Health Plan / Managed Care

ShiftCode AnalyticsLos Angeles, CA, United States
Temporary

We need a Business Analyst with Health Plan/Managed Care experience for a 6+ month contract role for a Healthcare client in Los Angeles, CA.This role will be Remote full time for the first several ... Show more

 • Promoted

Healthcare Plans Finance Director, Managed Care

Southern Medical RecruitersLos Angeles, CA, United States
Full-time

Healthcare Plans Finance Director, Managed Care.Healthcare Organization is seeking a strong experienced candidate for the Finance Director role.Candidates must possess healthcare plans experience, ... Show more

 • Promoted

A Calling Like No Other

U.S. Marine CorpsAvalon, CA, US
Full-time

Those who put others before themselves.Who can rise up in the face of danger.This country we call home has been our haven of safety for 250 years.And it's up to us to keep it that way.There's a goo... Show more

 • Promoted

Director, Managed Care Negotiations

Adventist HealthGlendale, CA, United States
Full-time

Adventist Health Roseville Contract Management Director.Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for mor... Show more

 • Promoted

Earn Side Money at Home Testing Products

Product Review JobsAVALON, CA, United States
Full-time

Compensation: Varies per assignment.Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester.This opportunity is for completing market res... Show more

 • Promoted

Analyst - Managed Care - Revenue Optimization

Memorial Healthcare SystemHollywood, US
Full-time

Complexity of Work: Requires critical thinking and effective communication skills.Must be able to demonstrate ability to make independent decisions.Requires detailed knowledge of government and man... Show more

 • Promoted

Border Patrol Agent (BPA) Experienced - New Hire Sign-On and Retention Incentives

U.S. Customs and Border ProtectionAvalon, CA, US
Full-time

Border Patrol Agent (BPA) – in the Federal Security and Public Safety Sector Experienced (GL-9 GS-11).You love protecting your community and doing your part to keep our nation safe.But maybe you’re... Show more

 • Promoted

Revenue Cycle Management (RCM) Analysts

Los Angeles Cancer NetworkGlendale, CA, United States
Full-time

Join The Los Angeles Cancer Network.The mission of The Los Angeles Cancer Network is to provide unparalleled care to each patient that comes through our doors.We offer individualized treatment usin... Show more

 • Promoted

Principal CSR Analyst

TradeJobsWorkForce90051 Los Angeles, CA, US
Full-time

Principal CSR Analyst Job Duties: Provide leadership and input in building the long-term business model... Show more

 • Promoted

Application Analyst

Axelon Services CorporationLos Angeles, CA
Full-time
Quick Apply

Shift: Must work Monday – Friday 8-5 PST.Support AP Claims, CRM, and a bit of UM.Analyze and design system workflow and business process flow.Must be Tapestry Certified with at least 6 years ... Show more

17 Ways to Make Money From Home - Check out these Side Hustles and Gig Jobs Today

Remote Jobs For Youavalon, ca, United States
Full-time

Side Hustles Flexible Work to Earn Extra Cash Looking to make extra money on the side? You dont need to leave your full-time job to do it.With flexible side hustles, you can earn on your own sche... Show more

 • Promoted

Managed Care Compliance Specialist - Managed Care

Cedars-SinaiLos Angeles, CA, United States
Full-time

Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program within the Managed Care department by ... Show more

 • Promoted

Revenue Cycle Analyst Exempt

Hollywood Presbyterian Medical CenterLos Angeles, CA, United States
Full-time

The Revenue Integrity Analyst is responsible for supporting the hospital's revenue cycle by ensuring accurate charge capture, compliant billing practices, and optimal reimbursement.This role analyz... Show more

 • Promoted

Management Analyst (Contracts & Grants)

Heluna HealthLos Angeles, CA, United States
Full-time

Management Analyst (Contracts & Grants)Salary:$29.Per HourThe Department of Health Services (DHS) Contracts and Grants (C&G) Division is located at 313 N.Figueroa Street, Downtown Los Angel... Show more

 • Promoted

Claiming Analyst - Revenue Cycle Management

SycamoresLos Angeles, CA, United States
Full-time

Sycamores provides a spectrum of equitable mental health services through various programs to multicultural populations of all acuities.Although it serves a variety of consumers, the agency focuses... Show more

 • Promoted

M & A Analyst - Torrance, CA

UMRTorrance, CA, United States
Full-time

Analyst, Healthcare Services Mergers.For those who want to invent the future of health care, here's your opportunity.We're going beyond basic care to health programs integrated across the entire co... Show more

 • Promoted

M & A Analyst - Torrance, CA

UnitedHealthcare At HomeTorrance, CA, United States
Full-time

Analyst, Healthcare Services Mergers.For those who want to invent the future of health care, here's your opportunity.We're going beyond basic care to health programs integrated across the entire co... Show more

 • Promoted

Five Arrows, Credit Analyst, California (Manhattan Beach)

Rothschild & CoLos Angeles, CA, United States
Full-time

Rothschild & Co is looking to recruit a credit analyst to join its Los Angeles office and support the management of the portfolio of leveraged loans.The successful candidate will work closely with ... Show more

 • Promoted

Lead Care Manager, MHS (47885)

St Anne's Family ServicesLos Angeles, CA, United States
Full-time

Anne's Family Services:Making a Difference in Families' LivesAbout Us:St.Anne's Family Services is dedicated to transforming lives and communities.We're committed to providing unwavering support to... Show more

 • Promoted

Aviation Operations & Support

US NavyAvalon, CA, US
Full-time

Aviation Operations & Support (Enlisted).Aviation Boatswain’s Mates in Aviation Operations & Support help launch and recover naval aircraft quickly and safely from ships and shore stations, handlin... Show more