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- Responsible for insurance claim denials and appeals, working to resolve issues and maximize reimbursement.
- Stay up to date with insurance company policies, guidelines, and regulations to ensure billing compliance.
- Participate in Triple Check meeting for assigned facilities.
- Prior SNF billing experience required
- Significant knowledge of federal and state billing regulations for Long-Term Care.
- Proficiency in Excel and strong computer and software (Microsoft Office) skills.
- Flexibility and adaptability to changes in regulation and company policy and procedures.
analyst - Full Time - Kansas City, United States - Tutera Senior Living & Health Care
Description
Prominent Healthcare Ownership & Management Company - Kansas City, MOPaid Holidays
~ Company Phone
~ Low-Cost Medical Insurance
~ Dental Insurance
~ Short-Term & Long-Term Disability Insurance
~ The Revenue Integrity Analyst is responsible for ensuring accuracy and compliance for assigned region's reimbursement entitlement.
Process claims to ensure accuracy and compliance with Medicaid/insurance company guidelines.