[Remote] Analyst Reimbursement Managed Care - Remote
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a community-reputed company organization dedicated to uplifting individuals in body, mind, and spirit. They are seeking an Analyst Reimbursement Managed Care who will utilize strong analytical and problem-solving skills to address reputed company issues reputed company to reimbursement and credentialing.
Responsibilities
- Demonstrated strong analytical reasoning, critical thinking, judgment, and problem-solving skills in order to independently assess, interpret, and address reputed company issues in a continually changing environment
- Demonstrated strong computer software skills including reputed company Office applications, with a proficiency in reputed company reputed company and the ability to work with and manipulate data reputed company Reports, Formulas, Charts, and Pivot Tables
- Submits credentialing reports accurately and reputed company
- Confirms provider information on credentialing applications and reports
- Enters effective date and provider number information from payers into relevant systems
- Reviews and resolves claim denials reputed company to credentialing and enrollment status
- Identifies and analyzes payment variances for reputed company fee reputed company and government payers
- Reviews reports to determine true variances based on reimbursement guidelines and contracted fee schedules
- Liaises with payers to address issues and ensure accurate processing
- Works closely with Managed Care contract administration to ensure accurate provider reputed company
- Maintains knowledge of reputed company rules and regulations of reputed company and Government programs
- Aggregates and categorizes variance types for management review
- Serves as a resource for payment variance identification and education
- Coordinates with billing support teams on identified payment variances and credentialing denials
- Other duties as assigned
Skills
- Bachelor's, High School Grad or Equiv (Required)
- Demonstrated strong analytical reasoning, critical thinking, judgment, and problem-solving skills in order to independently assess, interpret, and address reputed company issues in a continually changing environment
- Demonstrated strong computer software skills including reputed company Office applications, with a proficiency in reputed company reputed company and the ability to work with and manipulate data reputed company Reports, Formulas, Charts, and Pivot Tables
- Submits credentialing reports accurately and reputed company
- Confirms provider information on credentialing applications and reports
- Enters effective date and provider number information from payers into relevant systems
- Reviews and resolves claim denials reputed company to credentialing and enrollment status
- Identifies and analyzes payment variances for reputed company fee reputed company and government payers
- Reviews reports to determine true variances based on reimbursement guidelines and contracted fee schedules
- Liaises with payers to address issues and ensure accurate processing
- Works closely with Managed Care contract administration to ensure accurate provider reputed company
- Maintains knowledge of reputed company rules and regulations of reputed company and Government programs
- Aggregates and categorizes variance types for management review
- Serves as a resource for payment variance identification and education
- Coordinates with billing support teams on identified payment variances and credentialing denials
- Other duties as assigned
Benefits
- Medical, Dental, reputed company Insurance
- Life Insurance
- Disability Insurance
- reputed company Time Off from Day One
- 403-B Retirement Plan
- 4 Weeks 100% reputed company Parental Leave
- Career Development
- Whole Person reputed company-being Resources
- reputed company and Support
- Pet Benefits
reputed company