Managed Care Analyst I
On-siteSarasota, Florida, United States
Job Summary
Collect and reconcile underpayments on managed care contracts, maintaining a log of current status and providing weekly and monthly collection reports to the Manager. Develop relationships with insurance carriers to address multiple underpayments by a given payer while completing proactive projects focused on problem areas and high-cost services to ensure maximum contractual reimbursement. Update the department training manual and understand reimbursement methods by contract and knowledge of PMMC for contract management reporting. Requires five years of collections or healthcare-related experience within a healthcare setting, with a preference for Certified Patient Account Technician or Certified Revenue Cycle Specialist certification. Onsite position Monday through Friday, 8 hours per day.
Required Qualifications
- Minimum of five (5) years of collections or healthcare-related experience within a healthcare setting
- Bachelor's degree (can substitute for required work experience)
- High School Diploma, GED or Certificate
Desired Qualifications
- Certified Patient Account Technician (CPAT)
- Certified Revenue Cycle Specialist (CRCS)
- Demonstrated analytic skills
- Demonstrated computer skills in spreadsheet database, word processing, PMMC and any other applications
- Strong interpersonal skills, including the ability to handle difficult situation in a diplomatic manner
- Ability to type a minimum of forty-five (45) words per minute
- Associate's Degree
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