Managed Care Analyst

Physician Claims Analyst Needed!

Bottom Line Systems, Inc. is a health care consulting company, specializing in identifying and collecting managed care underpayments and denials for our customers for the past 12-years!  Due to our rapid growth, we are seeking to add several energetic, passionate people to our organization of Managed Care Professionals.  We are currently in need of a full-time Physician Analyst to join our team Troy, Michigan.

 

Position DescriptionAudit claims and search for underpayments, review refund requests and denials Review managed care contracts and compare against claims to identify underpayments for assigned client(s) Investigate various issues with payors and their contracts and respond to questions to reach problem resolution Collect claims data to be reviewed Call payors to resolve underpayments found Write adjustment and appeal letters as needed to payors to resolve underpayments Communicate with client contact concerning all issues related to billing, posting, contracts, etc...both in an informal manner through daily contact and formal manner through scheduled presentations

Position RequirementsMinimum 2 years experience in operational setting, preferable in managed care or physician patient accounts PC skills including experience with Microsoft Windows and Windows based spreadsheet, word processing Prior experience working with physician claims Experience working with ICD-9, CPT-4 and/or HCPCS coding systems Knowledge of insurance submittal procedures and medical forms (including UB04 and CMS1500) Experience performing account resolution with third party payors Accounts receivable collections from payors (no self pay) Ability to effectively identify and communicate payor trends Bachelor’s Degree preferred, but not required

BLS offers a superior retention rate, competitive salary/benefits package and company wide quarterly incentive program.  Submit resume and salary requirements to Fax: (859) 426-5382 or recruiter@bottomlinesystems.com

 

Are you a claims analyst, but feel this position does not specifically meet your needs?  BLS is expanding and has positions open in several departments.  Perform a Monster Search of "Bottom Line Systems" to view all of our available positions.  We are an employer NOT an agency and are looking for honest, dependable, hardworking individuals to join our growing team.  Some positions offer full and part-time opportunities.  Check us out today www.onlinebls.com