Medlogix

Analyst

• Ensure compliance with HIPAA regulations including privacy and confidentiality
• Coordinate and respond to post-service appeals to managed care/insurance denials
• Conduct comprehensive reviews on provider bill denials to determine appeals
• Review and respond to provider bill appeals on auto claims for multiple carriers
• Maintain multiple databases pertaining to denials and case management
• Apply New Jersey state auto PIP regulations
• Process bill review for auto claims using the MyMedlogix system
• Identify problematic issues and address with appropriate departments
• Handle post-service appeals for multiple states
• Other duties as assigned

Appeals Analyst