Appeals Analyst - Port Saint Lucie Florida

Company: VirtualVocations
Location: Port Saint Lucie, Florida
Posted On: 01/22/2025

A company is looking for an Appeals Analyst to monitor contractual allowances and pursue appeal opportunities with payers and networks.



Key Responsibilities

Implement processes for identifying under-allowed claims and review EOBs
Compile and submit appeals while monitoring for proper reimbursement
Track errors and provide feedback to the Appeals Manager


Required Qualifications

2+ years of experience with managed care claims and appeals
1+ year of experience with a healthcare contract manager application
2+ years of experience in healthcare professional services billing and reimbursement
Knowledge of practice management systems and EOB imaging systems
Familiarity with managed care contracts and compliance More...

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