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Bill Payer Responce Analyst in Nashville at Parallon

Date Posted: 12/6/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Nashville
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    12/6/2018

Job Description

Job Summary – The Billing Payer Response Analyst is responsible for review and correction of
claims rejected by the payer. This includes identifying trends and requesting updates to process and
system master files to reduce future rejections by the payer.
Supervisor – Billing Manager
Supervises – not applicable
Duties (included but not limited to):
 Review and timely resolution of payer claim rejections, including but not limited to claim
resubmission and update of payer identification for the account.
 Documenting root cause of payer rejection for trending and staff education
 Requesting process and/or system edit modifications to eliminate or reduce future payer
claim rejections.
 Trending of payer rejections for delivery to Billing Manager and distribution to impacted
departments.
 Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value
Statement”.
 Other duties as assigned

Job Requirements

KNOWLEDGE, SKILLS & ABILITIES
 Communication - communicates clearly and concisely, verbally and in writing. This
includes utilizing proper punctuation, correct spelling and the ability to transcribe
accurately.
 Customer orientation - establishes and maintains long-term customer relationships,
building trust and respect by consistently meeting and exceeding expectations
 Interpersonal skills - able to work effectively with other employees, patients and external
parties
 PC skills - demonstrates proficiency in Microsoft Office applications and others as required
 Policies & Procedures - demonstrates knowledge and understanding of organizational
policies, procedures and systems
 Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately
in short timeframes, have ability to work quickly and accurately in a fast-paced
environment while managing multiple demands, ability to work both independently and
collaboratively as a team player, adaptability, analytical and problem solving ability and
attention to detail and able to perform basic mathematical calculations, balance and
reconcile figures, punctuate properly, spell correctly and transcribe accurately.
EDUCATION
High school diploma or GED required.
EXPERIENCE
One year of related experience required.
CERTIFICATE/LICENSE - N/A

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