Advent Health Partners is in need of Claims Analyst on Fri, 19 Apr 2013 16:20:15 GMT. Claims Analyst - Nashville, TN and Manassas, VA Advent Health Partners (AHP) is a young, fast growing organization within the healthcare receivables market that is looking for ambitious individuals with revenue cycle experience who have a solid work ethic, are independently driven, and possess strong analytical skills. Advent Health Partners offers competitive salaries and a commission plan that...
We are currently seeking to fulfill several full-time Reimbursement Analyst positions for our Healthcare Appeals team in both our Nashville, Tennessee and Manassas Virginia offices. We are looking for qualified individuals with a minimum 2-5 years of experience in the healthcare industry recovering denied or underpaid insurance claims. Applicants should possess the following:
** Advent Health Partners is an Equal Opportunity Employer. Candidates will be subject to background checks and employment eligibility verification.
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Advent Health Partners.
Claims Analyst
Location: Nashville, Tennessee
Description: Advent Health Partners is in need of Claims Analyst right now, this position will be ordered in Tennessee. For complete informations about this position opportunity kindly read the description below.
- Nashville, TN and Manassas, VA
We are currently seeking to fulfill several full-time Reimbursement Analyst positions for our Healthcare Appeals team in both our Nashville, Tennessee and Manassas Virginia offices. We are looking for qualified individuals with a minimum 2-5 years of experience in the healthcare industry recovering denied or underpaid insurance claims. Applicants should possess the following:
- Superior verbal, written, customer service, and an alytical skills
- Expertise in reimbursement solutions
- Strong negotiating skills with problem recognition and resolution skills
- Ability to effectively tackle several tasks/roles at an! y given point
- Ensures legal compliance by following g! uidelines, account contract, and the company's business plan
- Maintains quality service by following corporate provider and payer service practices and protocols
- Continuous drive to maintain up to date healthcare industry policies , guidelines, and regulations
- Possession of a High School Diploma
- At least 2-5 years of experience within the healthcare market
- Understanding of medical terminology used in all provider/carrier documentation
- Ability to maneuver through multiple facility patient accounting systems
- Ability to resolve claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter; guiding resolution of non-routine claims; auditing cla ims.
- Prepares reports by securing analytical information through to a finished product
- Analyze claims to determine validity of denial/recovery options
- Draft detai! led & convincing correspondence to effec tuate reimbursement
- Develop relationships with insurance carriers, patients, attorneys, and employers to facilitate reimbursement
- Network management c ontract analysis experience
- Conduct legal and/or scientific research when necessary to build a strong argument
- Research/Review clinical policies, contracts, and other media to aide in claims recovery.
- Work individually and within a team to identify trends from client inventories and formulate recovery resolution
- Clearly and concisely document all actions taken to resolution within a claims recovery system
- Familiarity with Microsoft Office products , Access, provider and payer operating systems a plus.
- Bachelor's degree preferable.
- Familiarity with working with A/R related software support systems
- AHIMA or AAPC certification
- Previous experience within revenu! e cycle operations
** Advent Health Partners is an Equal Opportunity Employer. Candidates will be subject to background checks and employment eligibility verification.
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Advent Health Partners.
Interested on this position, just click on the Apply button, you will be redirected to the official website
This position starts available on: Fri, 19 Apr 2013 16:20:15 GMT