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Billing Payer Response Analyst - Work From Home in Richmond at Parallon

Date Posted: 4/11/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Richmond
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    4/11/2019

Job Description

Billing Payer Response Analyst – Full-Time – Work From Home
 
Parallon believes that organizations that continuously learn and improve will thrive. That’s why after more than a decade we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.

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.
 
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

 
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.


Job Requirements

EDUCATION:
High school diploma or GED required.
 
EXPERIENCE:
  • One year of related experience required
  • Medical Billing experience preferred

 
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