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Virtual Senior Payer Analyst in Nashville at Parallon

Date Posted: 2/4/2019

Job Snapshot

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Job Description

Researches and resolves trended payer analysis inventory including net A/R, government credit balances, and trended government discrepancy inventory.  Position requires individuals with high mathematical acumen, ability to access and assimilate data, articulate a strong case, confidence, and strong persuasion skill set. Results oriented individual will be required to work through various options available to liquidate the most difficult and trended payment discrepancies.  Candidate will demonstrate ability to grow strategic payer relationships and obtain understanding of payer systems to navigate through claims processing centers, specifically Medicare and Medicaid payers. Critical thinking skills are necessary, as well as ability to see trends that require escalation to the Payer Analysis Director. 

Job Requirements

Duties (included but not limited to):

•         Analyzes accounts/reports to identify contractual discrepancies.
•         Resolves misstated balances from various payers including governmental and non-government based payers.
•         Oversees daily reconciliations of accounts to ensure inventory adheres to policy standards.
•         Identifies trends driving inventory and practices proactive interdepartmental communication for mass resolution.
•         Tracking and following up on trended items to ensure resolution.
•         Assist with month end reporting
•         Serves as subject matter expert on Accounts Receivable/Payer Analysis Processes
•         Identifies Payer company trends and communicates trends to supervisor for further action/escalation.
•         Proficient in BOBJ and Excel
•         Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”
•         Other duties as assigned
•         Communication - communicates clearly and concisely, verbally and in writing.
•         Persistence – comfortable pursuing, rebutting and escalating issues as appropriate.
•         Goal-oriented – holds him/herself accountable to achieving shared and personal goals.
•         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 high proficiency in Microsoft Office applications and others as required.
•         Policies & Procedures - demonstrates knowledge and understanding of organizational policies,
procedures and systems.
•         Mathematical skills - able to perform advanced mathematical calculations and balance and reconcile figures
•         Writing skills –advanced writing skills with ability to present a compelling argument, punctuate properly, spell correctly and transcribe accurately.


•         Bachelor’s degree required.  Relevant experience may substitute degree requirement
•         Master’s degree preferred.


• Two years of related experience preferred.