Medicare Appeals & Reimbursement Specialist

Hall Render; Indianapolis (IN); Vor Ort; USD 60.000 - 90.000; Vollzeit

Zusammenfassung

Hall Render seeks a Medicare Appeals Paralegal to manage complex Medicare cost report appeals, reimbursement analyses, and related litigation matters. You will independently manage routine case actions, analyze technical reimbursement issues, and coordinate with clients and regulatory agencies to ensure successful outcomes.

Collaborating with attorneys, you will prepare filings, maintain databases, and communicate with MACs and PRRB personnel.

Qualifikationen

• Knowledge of Medicare reimbursement principles and Cost Reports.
• Ability to analyze regulatory requirements and PRRB appeals.
• Strong written and verbal communication for complex topics.
• Experience with case management systems and data analysis.
• Paralegal credential with related healthcare experience preferred.

Aufgaben

• Support Medicare cost report appeals and reimbursement analyses.
• Collaborate with attorneys on filing requirements and deadlines.
• Analyze reimbursement data, trends, and methodologies.
• Prepare filings, exhibits, and supporting materials.
• Communicate with clients, MACs, PRRB personnel, and teams.

Kenntnisse

Analytical thinking

Communication skills

Independent problem solving

Detail oriented

Time management

Ausbildung

Paralegal Certificate

Tools

Microsoft Excel

Jobbeschreibung

Hall Render seeks a Medicare Appeals Paralegal to manage complex Medicare cost report appeals, reimbursement analyses, and related litigation matters. You will independently manage routine case actions, analyze technical reimbursement issues, and coordinate with clients and regulatory agencies to ensure successful outcomes.

Collaborating with attorneys, you will prepare filings, maintain databases, and communicate with MACs and PRRB personnel.