Description

Description The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including institutional, as well as professional payment systems. This position is an internal subject matter expert supporting staff and clients and will need to respond to both internal and external issues in an accurate and timely fashion. In collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO’s goals of enhancing contract compliance by researching, analyzing, documenting, and reporting underpayment trends, payer updates, payer regulations, and provide feedback on workflow procedures pertaining to our negotiated contracts. Responsibilities Provides validation reviews, audits, documentation and training for the area of knowledge, sharing information with CBO management and other revenue producing areas or departments. Provides training and education to CBO Appeals Analysts, as well as guided workflows to assist in contract compliance analysis. Develops and maintains standard contract compliance analyses of MSHP IPA negotiated contracts utilizing contract manager ...