EOBPayment Analyst - Patient Accounting
EOBPayment Analyst - Patient Accounting
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Job Description
Overview
Join an awardwinning team of dedicated professionals committed to our core values of quality compassion and community! Saint Marys Health Network a member of Prime Healthcare offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
As a longstanding community partner with a 116year history Saint Marys Health Network offers Northern Nevada inpatient outpatient ancillary and wellness services. Nationally recognized and accredited by the Joint Commission as well as named one of the Top 100 Hospitals by Fortune/Merative and Americas Best 250 hospitals by Healthgrades Saint Marys Regional Medical Center is a 352bed acute care hospital offering a robust line of inpatient outpatient and ancillary services including a toprated Center for Cancer surgical and orthopedic services and an awardwinning Cardiology program and more. The health system a member of Prime Healthcare also operates a fullyintegrated Medical Group multiple urgent care clinics freestanding imaging lab and primary care clinics. For more information visit www.SaintMarysReno.
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race color sex sexual orientation gender identity religion national origin age (subject to applicable law) disability military status genetic information or any other basis protected by applicable federal state or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc/sites/default/files/202210/EEOCKnowYourRightsscreenreader1020.pdf
Responsibilities
Under the supervision of the Director the Payment Review Specialist position is responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations guidelines and systems analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospitals receivables. Proactively works with payers and inhouse resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate State and Federal regulations in order to assure compliance in payment practices.
Qualifications
Education and Work Experience
- Minimum three years hospital billing and collection experience.
- Medical and Insurance terminology essential.
- Knowledge of CPT ICD9 HCPCS coding structures
Required Experience:
IC
Employment Type
Full-Time
