Healthcare Appeals Analyst
Information Technology company
Information Technology company
Jacksonville, FL 32256
W-2 and C2C availableContractContract to Permanent294 views
Jacksonville, FL 32256
ContractContract to Permanent
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Job description

Cloudteam now has a contract to permanent placement opportunity for you to join a leader in the the healthcare insurance industry as a Certified Coder working as a Healthcare Appeals Analyst in Jacksonville, FL.

This is a contract position that will last 6 months with possibility of a permanent position after that.

Responsibilities

• Apply medical knowledge and expertise in reviewing claims and provider inquiries, more focused on Coding inquiries than Claims and ICD 9/10 issues.
• Render medical decisions on, claims and proper coding and billing, identifying questionable medical practices.
• Document findings and render medical decision in various internal systems.
• Manage medical review inventory including resolving workflow problems and identifying continuous improvement opportunities.
• Identify formal education opportunities and needs for providers and their staff and communicate these needs to appropriate departments.
• Follow regulatory requirements.
• Do project work as needed.

About us:
Cloudteam has been disrupting the staffing industry since 2011 with our tech tool supported recruitment and staffing teams that have enabled us to offer top level placements with higher compensation and at lower cost to our clients.

We are an Equal Opportunity Employer.

Skills
Skill Proficiency Years Experience Percent Used
Medical Claims
Any100%
EMR
Any75%