Medical Payment Analyst

Contract TypeContract/Temporary

Job LocationMesa, Arizona

Medical Payment Analyst

LHH is currently searching for a Medical Payment Analyst in Phoenix, AZ. The Medical Payment Analyst will be primarily responsible for reviewing and accurately processing medical insurance payments to patient accounts in a timely manner. This position will require manual and electronic payment posting, analyzing remits, finding missing remits, balancing batches, and analyzing responses from health plans. This position is also responsible for monitoring and analyzing the quality of data reported in remits and import posting reports to ensure that they are submitted in accordance to standards. The position will also be required to assist with billing duties and responsibilities when necessary.

Responsibilities:

  • Payment posting and EOB (Explanation of Benefits) analysis on a detailed line-item basis, ensuring payments and adjustments are properly applied and that payments reconcile to EOB’s received by health plans.
  • Identifies and processes payments, denials, write offs, recoupments, and patient balances received from a variety of sources including multiple insurance plans/types, third parties, and patients.
  • Research and data entry for missing or erroneous data.
  • Ensures our system is updated with appropriate remit descriptions and categories.
  • Manually reconciles remits from provider portals to clearinghouse receipts.
  • Manually imports and posts batches that are not received via our automated process.
  • Identifies payment discrepancies and payer trends.
  • Investigates and processes overpayments.
  • Balances payment batches.
  • Escalates unidentified payments and incomplete claims appropriately.
  • Works with billing team to resolve and/or correct issues with rejects, posting errors, or missing information.
  • Assist with billing edits and claim submission when necessary.
  • Reviews and ensures the accuracy of billing information entered into the system.
  • Review and resolve system edits prior to claim submission.
  • Submits timely and accurate medical claims.
  • Utilize software knowledge, business processes knowledge and Standard Operating Procedures to correctly manage billing information.
  • Analyze, monitor, and measure the quality of billing information in accordance with data standards, policies and procedures and initiate appropriate action plans to correct errors.
  • Act to resolve all billing issues and discrepancies.
  • Maintain patient confidentiality as per the HIPAA guidelines.
  • Comply with all applicable Federal, State and local laws, regulations, and requirements as well as CBI policies and procedures in all aspects of job performance
  • Meet or exceed department standards for production and quality.
  • All other duties and responsibilities as assigned
  • Requirements:

  • Need to have industry experience posting payments.
  • High School diploma, Associate Degree preferred.
  • 18+ months experience with billing medical claims, behavioral claims knowledge is a plus.
  • Billing certificate preferred.
  • Equivalent combination of education, training, and experience
  • Working knowledge of medical terminology.
  • Customer service skills with the ability to work in a team environment.
  • Minimum 18+ months experience working with healthcare reimbursement systems.
  • Must be highly organized and detail oriented. Ability to work in a fast paced, rapidly changing environment.
  • Experience in MS Word, Excel, and Outlook.
  • Must be able to type at least 40 WPM and possess a high school diploma or equivalent.
  • Schedule/Compensation

  • This position is full-time and remote
  • Monday through Friday flexibility on start time but end time is 5:00 pm AZ time (40 Hours per week)
  • Salary is up to $21.00 per hour
  • Equal Opportunity Employer/Veterans/Disabled

    To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

    The Company will consider qualified applicants with arrest and conviction records

    RefUS_EN_27_879485_2933684

    Medical Payment Analyst

    LHH

    26 days ago

    Contract Type

    Contract/Temporary

    Job Location

    Mesa, Arizona

    Medical Payment Analyst

    LHH is currently searching for a Medical Payment Analyst in Phoenix, AZ. The Medical Payment Analyst will be primarily responsible for reviewing and accurately processing medical insurance payments to patient accounts in a timely manner. This position will require manual and electronic payment posting, analyzing remits, finding missing remits, balancing batches, and analyzing responses from health plans. This position is also responsible for monitoring and analyzing the quality of data reported in remits and import posting reports to ensure that they are submitted in accordance to standards. The position will also be required to assist with billing duties and responsibilities when necessary.

    Responsibilities:

  • Payment posting and EOB (Explanation of Benefits) analysis on a detailed line-item basis, ensuring payments and adjustments are properly applied and that payments reconcile to EOB’s received by health plans.
  • Identifies and processes payments, denials, write offs, recoupments, and patient balances received from a variety of sources including multiple insurance plans/types, third parties, and patients.
  • Research and data entry for missing or erroneous data.
  • Ensures our system is updated with appropriate remit descriptions and categories.
  • Manually reconciles remits from provider portals to clearinghouse receipts.
  • Manually imports and posts batches that are not received via our automated process.
  • Identifies payment discrepancies and payer trends.
  • Investigates and processes overpayments.
  • Balances payment batches.
  • Escalates unidentified payments and incomplete claims appropriately.
  • Works with billing team to resolve and/or correct issues with rejects, posting errors, or missing information.
  • Assist with billing edits and claim submission when necessary.
  • Reviews and ensures the accuracy of billing information entered into the system.
  • Review and resolve system edits prior to claim submission.
  • Submits timely and accurate medical claims.
  • Utilize software knowledge, business processes knowledge and Standard Operating Procedures to correctly manage billing information.
  • Analyze, monitor, and measure the quality of billing information in accordance with data standards, policies and procedures and initiate appropriate action plans to correct errors.
  • Act to resolve all billing issues and discrepancies.
  • Maintain patient confidentiality as per the HIPAA guidelines.
  • Comply with all applicable Federal, State and local laws, regulations, and requirements as well as CBI policies and procedures in all aspects of job performance
  • Meet or exceed department standards for production and quality.
  • All other duties and responsibilities as assigned
  • Requirements:

  • Need to have industry experience posting payments.
  • High School diploma, Associate Degree preferred.
  • 18+ months experience with billing medical claims, behavioral claims knowledge is a plus.
  • Billing certificate preferred.
  • Equivalent combination of education, training, and experience
  • Working knowledge of medical terminology.
  • Customer service skills with the ability to work in a team environment.
  • Minimum 18+ months experience working with healthcare reimbursement systems.
  • Must be highly organized and detail oriented. Ability to work in a fast paced, rapidly changing environment.
  • Experience in MS Word, Excel, and Outlook.
  • Must be able to type at least 40 WPM and possess a high school diploma or equivalent.
  • Schedule/Compensation

  • This position is full-time and remote
  • Monday through Friday flexibility on start time but end time is 5:00 pm AZ time (40 Hours per week)
  • Salary is up to $21.00 per hour
  • Equal Opportunity Employer/Veterans/Disabled

    To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

    The Company will consider qualified applicants with arrest and conviction records

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