Operations Associate

Job Summary

A company is looking for an Operations Associate - Resolution.

Key Responsibilities

• Conduct follow-up calls and payer portal escalations with insurance companies to resolve underpaid hospital claims
• Analyze denial data to develop evidence-based responses for claim/appeal denials
• Perform continual analysis and quality control of underpayment risk areas to ensure audit accuracy

Required Qualifications

• Demonstrated experience in data analytics, healthcare billing, or revenue cycle management
• Organized and analytical self-starter
• Strong critical thinking skills
• Ability to document detailed descriptions of work completed