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Remote - Payment Validation Analyst
4 days agoWhat's your preference?
Job Description
- Req#: req19386
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $81,057.60 per year
- Opportunity for career advancement and growth within the organization
- Work remotely from specified states in the U.S.
- Supportive and collaborative work environment
- Engage in meaningful work that impacts the accuracy of healthcare billing
What to Expect (Job Responsibilities):
- Analyze contractual underpayments and resolve daily encounters holding in Epic Workqueues for these underpayments
- Address price and contract discrepancies in Epic Workqueues and collaborate with CDM and Revenue Integrity Analysts for corrections
- Participate in rebill projects aimed at recouping underpayments
- Serve as a subject matter expert on payer reimbursements and contracts, staying informed of any changes
- Perform additional duties as assigned
What is Required (Qualifications):
- Bachelor's Degree and High School Diploma are both required
- Minimum of 5 years of healthcare experience, including knowledge of hospital financial operations
- Expertise in reimbursement, medical billing, Charge Master development, and maintenance
- In-depth knowledge of CPTs, HCPCs, and ICD-10 medical coding
- Experience with related APC Medicare reimbursement
How to Stand Out (Preferred Qualifications):
- Epic Contracts Module Certification
#HealthcareServices #RemoteWork #CareerOpportunity #CompetitivePay #MedicalBilling
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