Claims Analyst
Phoenixonsitemid
Posted 109mo ago · via Smartrecruiters
About this role
About Conifer Health has been providing managed services to health systems, their health plans and managed populations for more than 30 years. Our value-based solutions enhance consumer engagement, drive clinical alignment, manage risk, and improve financial performance. Our purpose of providing the foundation for better health fuels our clients to meet the unique needs of the communities they serve. Summary: Responsible for validating disputes presented on Explanation of Benefits (EOB), entering denied claim into the DMT database, and escalating payment /variance trends to Management and generating appeals for denied or underpaid claims. Essential Functions : Validate denial reasons and ensures coding is accurate and reflects the denial reasons.…
Read the full description on Healthcare Support Staffing's site →
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
We compare your skills against the role requirements.
2
Level fit
This role is mid-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in Phoenix. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included
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