Upvote
Downvote
Senior Business Operations Analyst
Share Job
- Suggest Revision
- Performs functions necessary to facilitate payment recovery including research, appeals, and follow up.
- Follow up on all appeals to ensure receipt and processing by carrier and prevent loss to untimely appeal
- Research payer & CMS policies related to revenue cycle; identify & alert stakeholders of required changes; track and ensure completions.
- Understand managed care contracting & reimbursement schemes (Prof /Tech) as well as payer requirements, reimbursement policies & clinical policy bulletins and apply principles to improve performance.
- Develop knowledge of internal billing systems & edits and make recommendations to mitigate denials.
Active Job
Updated 5 days agoSimilar Job
Relevance
Active