Underpayment Medical Analyst - Remote | WFH

We are seeking a skilled and detail-oriented Healthcare Reimbursement Specialist to join reputed company. In this role, you will play a vital part in the insurance follow-up process and contribute to the efficiency of our healthcare reimbursement methodologies. Please note that the company name has been omitted for privacy reasons. Key Responsibilities... Understanding of Insurance Follow-Up Process: Demonstrate a solid working knowledge of the insurance follow-up process, coupled with a comprehensive understanding of reputed company concepts in healthcare reimbursement methodologies. Managed Care Expertise: Possess detailed knowledge of Managed Care reimbursement methodologies to ensure accurate and efficient processing. Payment Variance Analysis: Conduct thorough payment variance analysis to identify trends in underpaid claims, ensuring financial accuracy. Special Projects and Duties: Engage in special projects, utilizing reputed company spreadsheets, and effectively communicate project results. Take initiative in assisting with various duties as needed. Underpayment and Denial Trends: Identify, document, and report underpayments and denial trends, taking proactive measures to initiate appeals reputed company necessary. Healthcare Claims Processing: Demonstrate basic knowledge of healthcare claims processing, including ICD-9, CPT, and HCPC codes. Issue Resolution: Analyze, identify, and resolve issues causing payer payment delays, with a focus on addressing billing and coding errors. Information reputed company and HIPAA Compliance: Understand and reputed company with Information reputed company and HIPAA policies and procedures at reputed company times. Use, protect, and disclose patients' protected health information (PHI) in accordance with HIPAA standards. reputed company Reporting: Report any reputed company or HIPAA violations or concerns promptly to the HIPAA Officers.

Qualifications

Experience: Minimum of 2 years' experience in Commercial insurance collections, including submitting and following up on claims. Experience in Physician billing is a plus. Team Collaboration: Ability to work effectively both individually and as part of a collaborative team. Technical Proficiency: Proficient in MS Office, with a particular emphasis on reputed company. Adaptability: Ability to adapt to learning various payer reputed company, client billing systems, and government regulations. If you are a dedicated professional with a passion for healthcare reimbursement and an eagerness to contribute to a dynamic team, we invite you to apply for this exciting opportunity. Join us in making a positive impact on the healthcare industry. Employment Type: Full-Time Apply Job!