Job Summary
A company is looking for a Revenue Cycle Associate to support the Appeals team in resolving denial accounts.
Key Responsibilities
- Investigate and examine sources of denials using knowledge of coding and billing
- Collaborate with third-party payers to resolve unpaid claims and ensure medical necessity
- Provide feedback and education to staff on current trends in the appeals process
Required Qualifications
- Minimum of two years of experience in health insurance, health claims billing, or third-party contracts
- Extensive knowledge of commercial insurances, Medicare, and Medicaid
- Ability to work effectively in a team setting
- Familiarity with HIPAA and confidentiality requirements
- Experience with research analysis and working with third-party payers
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