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Technical Analyst

F631d597336939b4041fbf6f99b99804 ยท Remote - Baltimore, MD 21244
// classified as
Other (Adjacent or hard to classify.)
posted
15d ago
location
Remote - Baltimore, MD 21244
languages
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tools
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> description

Index Analytics is seeking a Technical Analyst II to support the IDR process. The Analyst will work as a member of a multi-disciplinary team to review medical and billing documentation and collect information from disputing parties to assist in the resolution of disputes.

Responsibilities

  • Closely review disputes in the Federal IDR Portal.
  • Leverage previous experience in medical record review/billing to perform case file reviews using multiple government and IDRE systems and databases.
  • Coordinate within a team of Analysts to meet productivity goals for triaging and resolving open disputes.
  • Based on case review provide an assessment to inform decisions regarding eligibility and other dispute related determinations
  • Identify gaps in documentation/materials needed for expeditious case resolution.
  • Develop overall recommendations for enhancements to business processes, workflows, case intake/management.
  • Research and develop meaningful guidance in the form of training materials, job aids, and operational documents.
  • Performs data collection from multiple sources to include the web, client databases, and other resources.