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Appeals Analyst II - Experian Health

191569 Requisition #
Thanks for your interest in the Appeals Analyst II - Experian Health position. Unfortunately this position has been closed but you can search our 614 open jobs by clicking here.
Education and Experience: 
• Associates degree preferred
• Minimum of two years’ experience working with managed care claims and appeals for health care professional services (physicians and other health care professionals).
• Experience in a production environment desirable but comfort in such an environment is essential.
Equivalent combination of education and experience may be considered

• Advanced knowledge and PC skills, with proficiency in utilizing Microsoft office products (Word, Excel, Outlook, PowerPoint, etc.)
• Knowledge of the health care professional services billing (physicians and related health care professionals) and reimbursement environment.
• Knowledge of major types of practice management system (PMS) and EOB imaging systems, with experience working with at least one industry leading PMS highly desirable.
• Knowledge of medical terminology.
• Knowledge of networks, IPAs, MSOs, HMOs, PCP and contract affiliations.
• Knowledge of managed care contracts and compliance.
• Demonstrated skill in gathering and reporting claims information.
• Demonstrated skill in written and oral communication with colleagues, supervisors, and payer/network personnel.
• Demonstrated skill working in a team-oriented structure to achieve goals.
• Demonstrated skill in problem solving and research. 

• Ability to work effectively with other departments and management.
• Ability to identify, analyze and solve problems and to recognize patterns in data.
• Ability to learn, understand and use the software applications

Proven previous job stability, including maintaining long-term work relationships with former employers

  • Proven previous job stability, including maintaining long-term work relationships with former employers
  • Must be able to clear the company’s pre-employment screening

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