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Remote Appeals Analyst Jobs in Kansas (NOW HIRING)

Epic Denials Management Operator

Wichita, KS · Remote

$16 - $21.50/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Research & Writing Attorney ALBUQUERQUE, NM No relocation required - Albuquerque-area and remote ... Strong legal research, analysis, and writing skills, with the ability to translate research into ...

Review and analyze tax notices received by clients. * Communicate with clients to gather necessary ... Prepare legal documents, such as appeals, petitions, and settlement agreements. * Ensure compliance ...

Senior Associate, Tax Controversy

Topeka, KS · On-site +1

$70K - $133K/yr

Review and analyze tax notices received by clients. * Communicate with clients to gather necessary ... Prepare legal documents, such as appeals, petitions, and settlement agreements. * Ensure compliance ...

Remote Appeals Analyst information

What is a remote appeals analyst?

A Remote Appeals Analyst is a professional who reviews, processes, and evaluates insurance claims and appeals from a remote location, often working from home. Their role typically involves analyzing denied or disputed insurance claims, gathering relevant documentation, and determining whether appeals are justified based on policies and regulations. They communicate findings to insurance companies, healthcare providers, or clients, and may draft appeal letters or recommend further actions. Strong analytical, communication, and organizational skills are essential for this job, along with a good understanding of insurance policies and healthcare regulations.

What are the key skills and qualifications needed to thrive as a remote appeals analyst?

To thrive as a Remote Appeals Analyst, you need a solid understanding of healthcare claims processing, medical terminology, and insurance regulations, often supported by a relevant degree or prior experience in medical billing or claims review. Familiarity with claims management software, electronic health record (EHR) systems, and sometimes certification such as Certified Professional Coder (CPC) is typically required. Strong analytical thinking, attention to detail, and effective written communication skills help you clearly articulate appeals and resolve claim issues. These skills and qualifications are crucial for ensuring accurate and timely resolution of appeals, compliance with regulations, and maintaining positive payer relationships.

How does a remote appeals analyst typically collaborate with other departments while working remotely?

As a Remote Appeals Analyst, you’ll regularly collaborate with departments such as claims processing, customer service, and medical review teams through virtual meetings, email, and secure messaging platforms. Effective communication and organizational skills are crucial since you’ll often need to clarify details, gather documentation, and coordinate resolutions on appeal cases from a distance. Many organizations use workflow management software to streamline this collaboration, ensuring appeals are resolved efficiently while maintaining compliance and confidentiality.

What are popular job titles related to Remote Appeals Analyst jobs in Kansas?

For Remote Appeals Analyst jobs in Kansas, the most frequently searched job titles are:

What job categories do people searching Remote Appeals Analyst jobs in Kansas look for?

The top searched job categories for Remote Appeals Analyst jobs in Kansas are:

Revenue Cycle Financial Analyst

The University of Kansas Health System

Kansas City, KS • On-site, Remote

Full-time

This job post has expired 2 days ago. Applications are no longer accepted.


University Of Kansas Health System rating

7.5

Company rating: 7.5 out of 10

Based on 179 frontline employees who took The Breakroom Quiz

234th of 895 rated healthcare providers


Job description

Position Title
Revenue Cycle Financial Analyst
Days - Full Time
Remote
Position Summary / Career Interest:
The Revenue Cycle Financial Analyst is responsible for identifying, tracking and resolving trends for over and under payments with EMR. This position educates external and internal customers on policies and procedures to improve process flow and decrease denials, over payments and under payments.
Responsibilities and Essential Job Functions
  • Reviews Explanation Of Benefit's & Remittance Advisement's for denied claims.
  • Works with manage care organizations to identify and/or resolve claim submission requirements. Evaluates and resolves issues related to revenue cycle including charge capture, charge master, coding, claim submission or information system.
  • Prepares and maintains statistical and financial reports supporting areas of performance improvement.
  • Identifies areas of improvements utilizing financial - statistical indicators related to revenue cycle performance.
  • Reviews intradepartmental and interdepartmental processes for improvements that will decrease denials and underpaid claims that occur due to a variety of reasons related to: Authorization, Eligibility, Medical Necessity, Utilization Review, Documentation
  • Analyzes situations and makes recommendations that will achieve financial objectives related to revenue cycle.
  • Provides training to external and internal customers to educate and improve revenue cycle processes.
  • Provides input in analysis of aging trends. Submits ticket requests with Hospital Systems on systems changes to ensure billing accuracy.
  • Prepares third party appeals as appropriate.
  • Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
  • These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience
  • High School Graduate or GED.
  • Associates Degree in related field, OR Associate's Degree equivalent of 4 years of experience in claims, denials, chargemaster, coding or insurance processing.
  • 4 or more years of experience in financial reporting, processing over and under payments, claims, denials, chargemaster, coding or insurance processing.

Preferred Education and Experience
  • Bachelors Degree in related field from an accredited college or university.
  • Epic experience.

Time Type:
Full time
Job Requisition ID:
R-53429
Important information for you to know as you apply:
  • The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion.
  • The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.
  • Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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About University of Kansas Health System

Sourced by ZipRecruiter

Operating within the healthcare industry, The University of Kansas Health System is a renowned medical institution located in Kansas City, KS, United States. Established in 1905, this not-for-profit health system has evolved to offer an extensive range of products and services, which spans across a variety of specialist areas such as cancer care, neurology, cardiology, and organ transplants, among others. The core mission of The University of Kansas Health System is to enhance the health and wellness of individuals and communities by providing world-class healthcare services, quality education and conducting advanced research. They are also known for their unwavering commitment to academic medicine, which sets them apart from their peers.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Kansas City, KS, US