Audits and Appeals Specialist

2 hours ago


Santa Ana, California, United States St. Edna Subacute & Rehab Center Full time
Audits and Appeals Analyst

Covenant Care is a leading provider of skilled nursing facilities, assisted living communities, and home health services. We are seeking an experienced Audits and Appeals Analyst to join our team at our Aliso Viejo location.

Job Summary

The Audits and Appeals Analyst will be responsible for overseeing multiple payer portals, initiating tracking processes, and maintaining ongoing communication with facilities to ensure timely claims submissions.

Responsibilities
  • Oversee multiple payer portals to ensure accurate and timely claims submissions
  • Initiate tracking processes to monitor and resolve underpayments and denials
  • Maintain ongoing communication with facilities to prompt them on claims submissions
  • Collaborate with facilities to resolve issues and ensure compliance with regulatory requirements
Requirements
  • High School Degree required, Associate's or Bachelor's degree preferred
  • Minimum of 3 years experience in a skilled nursing facility or similar environment
Benefits
  • Company-sponsored health benefits, including medical, dental, and vision
  • 401(k) savings plan
  • Paid time off and holidays
  • Employee assistance program

We are an equal opportunity employer and offer a safe and comfortable work environment. If you meet the requirements above, please send your resume for review and consideration.



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