Appeals Analyst

The Appeals Analyst will contribute in ensuring accurate and timely reimbursement by reviewing underpaid claims, identifying appeal opportunities, and partnering with payers and networks to resolve discrepancies. You will use a variety of tools, including contract management systems, to evaluate explanations of benefits (EOBs), analyze contract terms, prepare appeals, and monitor outcomes. The Appeals Analyst collaborates with our teams to share trends, support process improvements, and uphold the highest standards of confidentiality and compliance within a managed care environment. You will report to the Appeals Director.

• Bachelor's degree in a related field or equivalent combination of education and relevant experience.
• At least two years of experience working with managed care claims and appeals in a healthcare professional services setting.
• Proficiency with Microsoft Office applications and familiari...