Job: Provider Reimbursement and Appeals Analyst

Title Provider Reimbursement and Appeals Analyst
Category Medical Administrative Support
Location Chelmsford, Ma
Experience 2+5 years
Description

Our client in Chelmsford, MA is looking for a Provider Reimbursement and Appeals Analyst.

The ideal candidate will have strong analytical skills to work with contact management software to determine if insurance payments are paid in accordance with payer contracts. Position requires great attention to detail and ability to sort, filter and analyze large amounts of data to identify opportunities for revenue recovery and maximize reimbursement.
This position includes answering patient phone inquiries for out of pocket estimates and will prepare financial estimates based on the patients’ health plan and communicate this information to the patient. Requires extensive knowledge of medical billing guidelines, electronic medical records, medical terminology and use of electronic pricing tool.
Skills:
3 years physician medical billing, insurance carrier or related physician office experience. Proven knowledge of third party billing rules and regulations, claim resolution and appeals and solid knowledge of HCPCS, ICD-10 and CPT-4 Coding. Strong organizational skills, communication and analytical skills, exceptional attention to detail and the ability to perform, with accuracy, multiple tasks simultaneously are required.
Contact Keith Karpowich
Email kkarpowich@alternativesolutionsonline.com