Managed Care Revenue Optimization Analyst - FT - Days - MSS - Hybrid Eligible
Memorial Support Serviceshybridmid$54K – $156K
Posted today · via Workday
About this role
Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Reviews and analyzes denials and short payments received from insurance plans to determine best plan for resolution. Takes action required to obtain payment in accordance with the terms of payor contract, applicable billing guidelines and/or Federal and State laws. Responsibilities: Interacts directly with Department Clinical Team as needed to obtain pertinent clinical facts needed to support medical necessity of services provided.…
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 Memorial Support Services. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included
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