Bottom Line Systems, Inc.
Named one of the Top 30 Best Places to Work in Kentucky – 2009!
Winner of the Alfred P. Sloan Award for Business Excellence in Workplace Flexibility - 2009

Medical Claims Analyst Needed!

Bottom Line Systems, Inc. is a regional health care consulting company, specializing in identifying and collecting managed care underpayments and denials for our customers for the past 12-years!  Due to our rapid growth, we are seeking to add several energetic, passionate people to our organization of Managed Care Professionals.  We are currently in need of full-time Hospital Claims Analysts to join our team in both Louisville, KY and New Albany, IN!

Position Responsibilities

• Audit claims and search for underpayments, review refund requests and denials
• Review managed care contracts and compare against claims to identify underpayments for assigned client(s)
• Investigate various issues with payors and their contracts and respond to questions to reach problem resolution
• Collect claims data to be reviewed
• Call payors to resolve underpayments found
• Write adjustment and appeal letters as needed to payors to resolve underpayments
• Communicate with client contact concerning all issues related to billing, posting, contracts, etc...both in an informal manner through daily contact and formal manner through scheduled meetings

Position Requirements

• Minimum 2 years experience in operational setting, preferably in managed care or hospital patient accounts
• PC skills including experience with Microsoft Windows and Windows based spreadsheet, word processing
• Experience working with ICD-9, CPT-4 and/or HCPCS coding systems
• Knowledge of insurance submittal procedures and medical forms (including UB04 and CMS1500)
• Experience performing account resolution with third party payors
• Accounts receivable collections from payors (no self pay)
• Ability to effectively identify and communicate payor trends
• Bachelor’s Degree preferred, but not required