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Provider Services Analyst I - Remote

Posted 4 days ago
All others
Full Time
Worldwide

Overview

The Provider Services Analyst I is responsible for determining denials from remittance and taking appropriate steps for resolution, ensuring legal compliance and fostering collaboration between payers and providers.

In Short

  • Analyze claims to determine recovery options
  • Draft correspondence for reimbursement
  • Contact insurance carriers and patients
  • Interpret contracts related to reimbursement
  • Utilize payer portals and technologies
  • Identify root causes of claims issues
  • Document actions taken for claims resolution
  • Work independently and within a team
  • Maintain quality service standards
  • Stay updated on healthcare policies

Requirements

  • Experience with clinical/technical denials preferred
  • Knowledge of UB04s and claim codes preferred
  • Ability to compose effective appeal letters
  • Experience with EMR systems like Cerner or Epic
  • Strong analytical and customer service skills
  • Detail-oriented with multi-tasking abilities
  • High School Diploma with some college preferred
  • 2-5 years of experience in healthcare
  • Experience in revenue cycle management

Benefits

  • Competitive salary
  • Health insurance
  • 401(k) plan with employer match
  • Paid parental leave
  • Collaborative work environment

T.H.P

Trend Health Partners

Trend Health Partners is a tech-enabled payment integrity company dedicated to enhancing collaboration between payers and providers in the healthcare sector. With a mission focused on waste reduction and improved access to healthcare, the company leverages a shared technology platform to align the goals of both parties. Trend Health Partners fosters a dynamic and innovative work environment, offering a comprehensive compensation package that includes competitive salaries, health insurance, a 401(k) plan with employer match, and paid parental leave. The organization is committed to driving real results in the revenue cycle space through strategic marketing initiatives and a collaborative culture.

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