Claims Analyst position at Advent Health Partners in Nashville

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...

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
Advent Health Partners (AHP) is a young, fast growing organization within the healthcare receivables market that is looking for ambitious individuals wi! th 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 rewards individual perf ormance when accomplishing team goals. At AHP, superior performance leads to superior compensation.

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
Requirements

  • 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.
Preferences

  • 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
Interested candidates should submit their! applications with a c over letter and resume .

** 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



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