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Healthcare Appeals Analyst

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Healthcare
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187837 Requisition #
Thanks for your interest in the Healthcare Appeals Analyst position. Unfortunately this position has been closed but you can search our 611 open jobs by clicking here.
Education and Experience: 
  • Bachelors degree or greater in related field, or equivalent education and experience.
  • 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.
Knowledge:
  • Knowledge of the health care professional services billing (physicians and related health care professionals) and reimbursement environment required.
  • 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.
Experian is the leading global information services company, providing data and analytical tools to our clients around the world. We have always believed that data has the potential to transform lives and create a better tomorrow. We are transforming data into something meaningful: helping businesses to manage credit risk, preventing fraud, targeting marketing offers and automating decision making. We have been named one of the “World’s Most Innovative Companies” by Forbes for 3 years in a row, operating at the center of Big Data since before the phrase was coined. Few companies can offer information services on an equivalent scale. We support clients in more than 80 countries and employ approximately 17,000 people in 37 countries.

Experian is an Equal Opportunity Employer. Anyone needing accommodation to complete the interview process should notify the talent acquisition partner. The word "Experian" is a registered trademark in the EU and other countries and is owned by Experian Ltd. and/or its associated companies.

EOE including Disability/Veterans




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