Managed Care Appeals Analyst

A company is looking for a Managed Care Appeals Analyst to work remotely and manage appeals for underpayment amounts from payors.

Key Responsibilities

Research and review $0 balance accounts for contractual reimbursement accuracy

Create detailed appeals for unpaid services and document outcomes in the system

Monitor payments and resolve outstanding amounts with payors

Qualifications and Requirements

Associate or bachelor's degree in a relevant field or equivalent work experience

Minimum of one year of healthcare-related experience in auditing

Four or more years of experience in revenue cycle and appeals writing

Proficient knowledge of reimbursement methodologies and medical billing terminology

Intermediate skills in Microsoft applications and a basic understanding of HIT systems