This position is responsible for conducting regular analysis of payments received from contracted payers, making quantitative comparisons to determine if the hospital received the appropriate reimbursement, monitoring contractual allowances, analyzing and pursuing appeal opportunities with contracted payers and reporting variance/appeals performance.
Associate’s degree or higher in Healthcare, Business, or closely related field, or equivalent combination of post-secondary education and experience. (Preferred)
Bachelor’s degree or equivalent combination of post-secondary education and experience. (Preferred)
Two years experience account follow-up, zero payment denials, denial resolution, and underpayment/variance resolution in a healthcare setting. (Required)