Payor Analyst
RemoteUnited States
Job Summary
Monitor rejected and denied claims to determine root causes and resolve errors, while maintaining accurate documentation of patient account interactions in the Revenue Cycle Management System. Develop workflows and train billing vendors to ensure claims are appealed or reprocessed correctly, and field questions from internal staff as needed. Analyze claim data to make timely decisions on the next filing steps, utilizing knowledge of CPT/ICD10/HCPCS codes and insurance guidelines. Requires high school diploma, two years of medical billing experience, and proficiency in Microsoft Office. Full-time, Monday through Friday.
Required Qualifications
- High School Diploma or GED equivalent
- Must be authorized to work in the US for any employer
- 2+ years' experience in medical billing and/or AR follow up
Desired Qualifications
- Coding certification through AAPC preferred
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