Senior Appeals Analyst

Job Listing No: 9740000

Senior Appeals Analyst

University Medical Group – Portland, OR – Summary: This position is responsible for monitoring contractual allowances, analyzing and pursuing appeal opportunities with providers and networks, and reporting appeals performance. The position description outlines those Essential Functions of the position that must be performed with or without Reasonable Accommodation. Representative Essential Duties may include any or all of the following: Create advanced reports to identify carrier low payment trends and implement recovery strategies to recoup underpayments Develop and implement process for identifying disallowed claims using contract management software and other tools as needed Verify applicable contract as dictated by operational procedures. Review EOB messages; verify member information for managed care plans Compile and submit appeals. Monitor process for proper reimbursement Establish and maintain helpful, productive and professional contacts with networks and providers. Use contract management software to t… – Permanent – Full-time

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