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.\nROLE 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 reimbursement Contract interpretation as it relates to reimbursement, timelines, and verbiage of payer responsibilities guidelines to be followed Use of payer portals and other technologies to advance time to revenue Be able to identify defined root causes and trends from client inventories to formulate recovery resolutions or next steps in best practices Clearly and concisely document all actions taken to the resolution of each claim within a claims recovery system QUALIFICATIONS Prior