Provider Services Analyst I

TREND Health Partners is a tech-enabled payment integrity company. Our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows. Joining TREND Health Partners means becoming part of a dynamic, growing organization that promotes a collaborative and innovative work environment. Our comprehensive compensation package includes competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more. The Provider Services Analyst I's primary responsibility is to determine denials from remittance /explanation of benefits, trend root cause, and take appropriate steps for resolution by crafting detailed appeal letters and contacting insurance payers for resolution. This individual must be self-motivated and be able to work independently and within a team structure. Ensures legal compliance by following guidelines, account contract, and the company's business plan. \n ROLE AND RESPONSIBILITIES Maintains quality service by following corporate customer service practices and protocols Analyze claims to determine the validity of recovery options Draft detailed & convincing correspondence to effectuate reimbursement Contacting insurance carriers, patients, attorneys, and employers to facilitate r

Responsibilities

• Determine denials from remittance/explanation of benefits
• Trend root cause analysis
• Take appropriate steps for resolution by crafting detailed appeal letters
• Contact insurance payers for resolution
• Maintain quality service by following corporate customer service practices and protocols
• Analyze claims to determine the validity of recovery options
• Draft detailed and convincing correspondence to effectuate reimbursement
• Contact insurance carriers, patients, attorneys, and employers to facilitate resolution
• Ensure legal compliance by following guidelines, account contract, and company business plan

Requirements

• Self-motivated
• Ability to work independently and within a team structure

• Competitive salaries
• Health insurance
• 401(k) plan with employer match
• Paid parental leave