Denials and Resolution Analyst - MedAccounts

Memorial Health System of Southwest Oklahoma; Lawton (OK); On-site; USD 42,000 - 64,000; Full time

Job summary

International Executive Service Corps is seeking a Denials and Resolution Analyst to supervise by a MedAccounts Service Supervisor. The role focuses on follow-up and monitoring under-payments from third-party payers, plus collecting and analyzing data for provider and facility inquiries, disputes, and/or appeals.

The position involves developing policies and procedures and overseeing quality assurance for provider and hospital disputes, with emphasis on accurate charting and billing protocol

Qualifications

• Must have good organizational skills, reading, writing and proven communication skills.
• Proficient in Excel.
• Must have 2 years of general medical office experience.
• Prefer 2 year of hospital/medical office billing and collections or can demonstrate an understanding of hospital/physician billing and collections.
• College degree preferred.
• High School Graduate with excellent organizational skills, ability to work independently and stay on task.
• Ability to learn and understand billing protocol and reimbursement issues, ability to maintain accurate and detailed charts/notes in the company system.
• 2 years formal education in business or equivalent experience.
• Must have at least 2 years of a Medical Office/Hospital billing setting.

Responsibilities

• Follow-up and monitoring under-payments from third party payers.
• Data collection and analysis regarding provider and facility inquiries, disputes and/or appeals.
• Develops necessary policies and procedures and oversees quality assurance measures related to provider and hospital disputes.

Skills

Organizational skills

Communication skills

Excel

Education

College degree preferred

High School diploma

Job description

DEFINITION

Denials and Resolution Analyst is under the supervision of one of the MedAccounts Service Supervisors. The Denials and Resolution Analyst is responsible for follow-up and monitoring under-payments from Third party payers. Responsible for data collection and analysis regarding specific Provider and/Facility Inquiries, Disputes and/or Appeals. Develops necessary policies and procedures and oversees quality assurance measures related to Provider and Hospital Disputes.

PREFERRED QUALIFICATIONS

Must have good organizational skills, reading, writing and proven communication skills.

Proficient in Excel.

Must have 2 years of general medical office experience.

Prefer 2 year of hospital/medical office billing and collections or can demonstrate an understanding of hospital/physician billing and collections.

College degree preferred.

High School Graduate with excellent organizational skills, ability to work independently and stay on task,

Ability to learn and understand billing protocol and reimbursement issues, ability to maintain accurate and detailed charts/notes in the company system.

2 years formal education in business or equivalent experience.

Must have at least 2 years of a Medical Office/Hospital billing setting.