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Payor Analyst

Job not on LinkedIn

πŸ•’ Yesterday

πŸ”” Pennsylvania – Remote

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⏰ Full Time

🟒 Junior

🟑 Mid-level

🧐 Analyst

πŸš«πŸ‘¨β€πŸŽ“ No degree required

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πŸ“‹ Description

β€’ Monitor rejected and denied claims to determine root causes and resolve or prevent future errors β€’ Maintain documentation and files for patient account interactions in the Revenue Cycle Management System β€’ Record representatives/patient names, conversation dates and times, reference numbers, telephone numbers, insurance benefit details, and follow-up information β€’ Answer questions from coworkers and staff β€’ Participate in facility and departmental communication through daily email review β€’ Develop, maintain, and provide workflows and training for billing vendors β€’ Ensure claims are appealed or reprocessed correctly β€’ Perform other duties assigned by the supervisor

🎯 Requirements

β€’ High School Diploma or GED equivalent β€’ 2+ years’ experience in medical billing and/or AR follow up β€’ Coding certification through AAPC preferred β€’ Demonstrates well-developed interpersonal and communication skills β€’ Well-developed organizational skills and basic office operations knowledge β€’ Ability to evaluate patient situations and make timely decisions with minimal supervision β€’ Proficient computer skills and accurate data entry β€’ Proficiency with Microsoft Office software, including Outlook, Word, and Excel β€’ Basic internet proficiency β€’ Knowledge of or willingness to understand insurance guidelines and requirements β€’ Current knowledge of CPT, ICD-10, and HCPCS usage β€’ Ability to review documentation to obtain basic procedural and diagnosis codes β€’ Must be authorized to work in the US for any employer β€’ Ability to occasionally lift and/or move up to 25 pounds

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