Randstad Sr. Appeals Analyst - Workers Compensation in Franklin, Tennessee

Sr. Appeals Analyst - Workers Compensation


Franklin, TN


US$ 18 per hour

Date Posted:

Thursday, October 13, 2016

Job Type:


Reference #:






Randstad USA Administration

DescriptionImmediate opening for a Sr. Appeals Analyst to review Workers' Compensation payments in order to verify payment for state requirements.

Working hours: 8-5


In this role you will reviews accounts to determine reason for underpayment as well as:

- Reviewing accounts and sending detailed, written explanation for return.

- Investigates all network contracts, denied line items and re-pricing techniques.

- Verifies or denies contract existence between network re-pricing

- Ability to interpret payer and bill review contracts and apply as needed

- Utilizes general revenue cycle and appeals processing knowledge

- Performs special projects or tasks as assigned.


- Demonstrated ability to research and comprehend workers' compensation fee schedules in various states

- Knowledge of ICD-9, UBE, UB/HCFA, and HCPCs coding manuals to determine reason for denial or reimbursement amount

- Excellent communication skills

- Demonstrated ability to work independently and follow-through on assignments with minimal direction.

- Skilled in problem resolution and processing numerous types of denials.

Education and Experience Requirements

- High school diploma or equivalent required.

- At least one year experience in environment utilizing coding and appeals knowledge preferred.

- At least two years of reimbursement and contractual review experience preferred.

Interested candidates are asked to submit a resume for immediate confidential review to: jeanne.talley@randstadusa.com

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