Payor Analyst

Job not on LinkedIn

🕒 August 14

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🚫👨‍🎓 No degree required

👻 Ghost score 33%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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DIGESTIVE HEALTH

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2 - 10 employees

📋 Description

• Complete complex appeals and payor projects • Work with the billing vendor to ensure claims are processed accurately • Monitor rejected and denied claims, determine root causes, and resolve or prevent future errors • Maintain documentation and files regarding patient account interactions in the Revenue Cycle Management System • Field questions from coworkers and staff • Participate in facility and departmental communication through daily email review • Develop, maintain, and provide workflows and training for billing vendors • Ensure claims are appealed or reprocessed correctly • Perform other duties assigned by the supervisor

🎯 Requirements

• High School Diploma or GED equivalent • Coding certification through AAPC preferred • 2+ years’ experience in medical billing and/or AR follow up • Must be authorized to work in the US for any employer • Well-developed interpersonal and communication skills • Well-developed organizational skills • Basic office operations knowledge • Ability to evaluate patient situations and make timely decisions with minimal supervision • Proficient computer skills, including accurate data entry into Microsoft Office software (Outlook, Word, Excel) • Basic internet usage proficiency • Knowledge of or willingness to understand insurance guidelines and requirements • Current knowledge of CPT/ICD10/HCPCS usage • Ability to review documentation to obtain basic procedural and/or diagnosis codes

🏖️ Benefits

• Full-time employment • Monday–Friday schedule • Fully remote work