CASY-MSCCN Jobs

CASY-MSCCN Logo

Job Information

Aston Carter Remote Associate (Resolution Analyst) in Fort Worth, Texas

Fully Remote Opportunity ( Can Sit Anywhere in the US )

Permanent Position

Competitive Salary

Candidates with Hospital and Data Analysis in Experience Highly Desired

Description:

• Work with insurance companies to recover additional payments for our hospital clients, including follow-up calls and written appeals;

• Deliver premium client service through effective verbal and written communication in order to identify client (hospital) needs, perform reviews, provide recommendations, and communicate project results;

• Closely examine contract language and translate into data modeling to facilitate proper pricing using our software platforms;

• Support algorithm research, development, and maintenance for the purpose of processing hospital data to identify underpayments;

• Interact effectively with our internal teams to assist data reviews or claim resolution, clarify project or client-specific processes;

• Continue to innovate our review process through research, data analytics, and trending;

• Research and proactively apply new hospital regulations and legislations;

• Work effectively on a dynamic team; Organize, automate, and record team processes for training and documentation keeping;

• Participate in training programs, periodic teambuilding events, and volunteer activities;

• Comply with HIPAA privacy standards at all times and display a high level of professionalism when handling patient medical records

Skills:

analytical skill, claims resolution, medicare claims, sql, hospital claims, data analysis, underpayments, reimbursement, claim, health care, revenue cycle management, epic

Top Skills Details:

analytical skill,claims resolution,medicare claims,sql,hospital claims,data analysis,underpayments,reimbursement,claim,health care,revenue cycle management

Additional Skills & Qualifications:

MUST HAVE:

  • At least 2+ years experience with hospital billing, resolution, revenue cycle and/or related data analytic

  • At least 2+ years reviewing claims in a hospital or physician's office

  • Experience pinpointing risk areas with underpaid claims and helping clients or internal teams fix these risks

  • Proven ability to analyze bulk issues with underpaid claims

  • Strong problem solving skills

  • Strong analytical and quantitative skills

  • Proficient in all Microsoft programs

  • Proven leadership or managerial experience

NICE TO HAVE:

  • Experience looking at insurance contracts and understanding of contracts verbiage

  • Bachelor's degree in Healthcare preferred

Experience Level:

Intermediate Level

About Aston Carter:

At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com (%20astoncarteraccommodation@astoncarter.com) for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

DirectEmployers