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Managed Care Appeals AnalystVirtualVocations • Irvine, California, United States
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Managed Care Appeals Analyst

Managed Care Appeals Analyst

VirtualVocations • Irvine, California, United States
6 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
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Managed Care Appeals Analyst • Irvine, California, United States

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