Payor Analyst

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Oversee denied and rejected claims to identify root causes and implement solutions to prevent future issues.

• Maintain accurate records and documentation for patient account interactions within the Revenue Cycle Management System.

• Document representatives' and patients' names, dates and times of conversations, reference numbers, phone numbers, insurance benefit information, and follow-up details.

• Address inquiries from colleagues and staff members.

• Engage in facility and departmental communications by reviewing daily emails.

• Create, sustain, and deliver workflows and training for billing vendors.

• Ensure that claims are properly appealed or reprocessed.

• Carry out additional tasks as assigned by the supervisor.

⛳️ Requirements

• High School Diploma or equivalent GED.

• A minimum of 2 years of experience in medical billing and/or accounts receivable follow-up.

• Coding certification from AAPC is preferred.

• Possesses strong interpersonal and communication skills.

• Well-organized with a solid understanding of basic office operations.

• Ability to assess patient situations and make prompt decisions with little supervision.

• Proficient in computer skills and capable of accurate data entry.

• Familiarity with Microsoft Office applications, including Outlook, Word, and Excel.

• Basic proficiency in internet use.

• Knowledge of or willingness to learn insurance guidelines and requirements.

• Up-to-date knowledge of CPT, ICD-10, and HCPCS coding.

• Capability to review documentation to extract basic procedural and diagnosis codes.

• Must be authorized to work in the U.S. for any employer.

• Ability to occasionally lift and/or move up to 25 pounds.

🏝️ Benefits

• Competitive compensation package.

• Opportunities for professional development and training.

• Supportive work environment with a focus on teamwork.

• Comprehensive health benefits.