Job description

Managed Care Analyst
Denials, Appeals & Insurance Follow Up
Position located at our downtown Sarasota office

This individual is responsible for the collection and reconciliation of underpayments on managed care contracts. Maintains a log of the current status of underpayments collected. Maintains and continually updates the department training manual. Provides a weekly and a monthly report of collections to the Manager. Responsible for completion of projects that are pro-active and focused on problem areas and high-cost services to ensure maximum contractual reimbursement. Responsible for understanding the reimbursement methods by contract and knowledge of PMMC for contract management reporting. Responsible for developing a strong relationship with insurance carriers in order to address multiple underpayments by a given payer.

Education:

• Must have a HS degree or equivalent, Associated degree highly preferred.

Required Qualifications:

• A minimum of five (5) years of collection experience in a hospital setting. A Bachelor’s Degree can substitute for the required work experience.

Preferred Qualifications:

• Certified Patient Account Technician (CPAT) or Certified Revenue Cycle Specialist (CRCS).
• Demonstrated analytic skills.
• Demonstrated computer skills in spreadsheet database, word processing, PMMC and any other applications.
• Strong interpersonal skills, including the ability to handle difficult situation in a diplomatic manner.
• Ability to type a minimum of forty-five (45) words per minute.

Total Rewards Package

• Per Hourly Pay Rate higher than industry standards for position.
• We Promote From Within!
• Paid Time Off (start earning PTO on day one of employment)
• Tuition Reimbursement
• Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
• Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
• Life Insurance
• Disability Insurance
• Retirement Savings Plan: 403b
• Discounted Child Care & Before and After School Program and Summer Camp!
• Bereavement Leave
• Free Parking
• On Campus Dining w/ a 30% discount
• Credit Union w/ teller machines on campus
• Direct Deposit
• Free Wellness Screening
• Free confidential counseling services
• Employee Discount Programs
• Recognition Programs
• Referral Programs - earn money when your friend gets hired!

Every day, our patients at Sarasota Memorial Health Care System receive a first-class experience in care from a team on a mission to deliver the highest level of care in America.

In the process of rising to that challenge, one by one, our people are finding their purpose and feeling their impact. Now it is your turn to see yourself here!

Email your resume today!

Equal Opportunity Employer

Job Type: Full-time

Work Location: One location

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