Payor Analyst
US Digestive Health•Wyomissing, PA
2d•Onsite
About The Position
Summary/Objective The Payor Analyst is responsible for completing complex appeals, refund audits, and payor projects.
Requirements
- High School Diploma or GED Equivalent
- Minimum of 2-3 years of experience in a medical or office setting.
- Must be authorized to work in the US for any employer
Nice To Haves
- Experience with EMR systems is preferred.
Responsibilities
- Assist in resolving denied, scrubbed, or held claims by investigating rejected claims, utilizing provider websites or phone conversations to determine corrective actions.
- Maintain appropriate documentation and files regarding all patient account interactions in the Revenue Cycle Management System.
- Field questions from co-workers and staff as required.
- Actively participate in facility and departmental communication through daily review of email messages.
- Review claim documentation and correct coding when necessary.
- Recognize and research trending claim denials.
- Stay updated on specific billing requirements to ensure appropriate claims processing and reimbursement.
- Perform any other duties as assigned by the manager.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
