ZipRecruiter

Log In

1

Director Reconsideration Analyst Jobs (NOW HIRING)

LEIBOVIC LAW GROUP LLP

Attorney

Chatsworth, CA

$43.25 - $92/hr

... application, reconsideration and hearing level to determine merit and legal theory of the case ... years of direct experience in social service counseling and/or legal representation Strong ...

Molina Healthcare

$97K - $189K/yr

Oversees the provider issue research and resolution function and the provider claim reconsideration ... Collaborates with the member appeals and grievances (A&G) COE to obtain related analytics, identify ...

HEALTH ADVOCATES

Attorney

Chatsworth, CA · On-site

$43.25 - $92/hr

... application, reconsideration and hearing level to determine merit and legal theory of the case ... years of direct experience in social service counseling and/or legal representation · Strong ...

Health Advocates

Attorney

Chatsworth, CA · On-site

$42 - $92/hr

... application, reconsideration and hearing level to determine merit and legal theory of the case ... of direct experience in social service counseling and/or legal representation • Strong ...

Akron Children's Hospital

Payer Policy Coordinator

Akron, OH · On-site

$18.50 - $24.75/hr

... reconsideration requests, and appeals within required timelines, in collaboration with Legal as ... setting, with direct responsibility for payer policy analysis, medical policy review, or ...

next page

Showing results 1-20

All JobsReconsideration Analyst JobsDirector Reconsideration Analyst Jobs

Director Reconsideration Analyst information

What cities are hiring for Director Reconsideration Analyst jobs? Cities with the most Director Reconsideration Analyst job openings:
What are the most commonly searched types of Reconsideration Analyst jobs? The most popular types of Reconsideration Analyst jobs are:
What states have the most Director Reconsideration Analyst jobs? States with the most job openings for Director Reconsideration Analyst jobs include:
Director Reconsideration Analyst jobs near you

Inpatient Medicare Collection Specialist

TaraVista Behavioral Health

Devens, MA • On-site

$20.50 - $27.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

Join Us as Inpatient Medicare Collections Specialist!
Full Time 40 hours onsite in Auburn, MA
The Inpatient Medicare Collections Specialist is responsible for maximizing reimbursement and ensuring timely resolution of Medicare inpatient accounts receivable. This role focuses on Medicare fee-for-service claims, including high-dollar hospital stays, by managing claim edits, resolving denials, and navigating the Medicare Direct Data Entry (DDE/FISS) system to secure accurate and timely payment.
Inpatient Medicare Collections Specialist Job Responsibilities:
  • Monitor Medicare DDE (FISS) system for claim status updates including edits, RTP, and suspended claims.
  • Correct claim errors, billing discrepancies, and coding-related issues.
  • Investigate and resolve denied, zero-pay, or underpaid Medicare claims.
  • Prepare and submit redetermination and reconsideration appeals.
  • Work Medicare aging reports daily and prioritize high-dollar accounts.
  • Communicate with Medicare Administrative Contractors (MACs) to resolve claim issues.
  • Coordinate patient responsibility and secondary billing.
  • Ensure compliance with CMS regulations and proper documentation.
  • Other Collections activity as assigned

Inpatient Medicare Collections Specialist will have the following:
  • 1-3+ years of hospital billing or Medicare collections experience.
  • Inpatient Psych experience preferred.
  • Experience with Medicare DDE/FISS preferred.Knowledge of Medicare billing rules and IPPS
  • Familiarity with Medicare Secondary Payer (MSP) rules
  • Strong analytical and detail-oriented skills
  • Proficiency in billing systems and Microsoft Office

When you join the growing TaraVista team, you're not just taking a job, you're making a difference in people's lives.As our team member, you'll receive:
  • Medical, Dental, and Vision
  • 401(k) match
  • Employer paid short term disability (STD)
  • Employer paid life and AD&D Insurance
  • Generous Paid Time Off
  • Flexible Spending Account
  • Tuition Reimbursement

Pay Range
Compensation will be determined based on the candidate's relevant experience.
$24.00 - $28.00
MiraVista is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Apply