Payer Response Analyst (Full Time)

DESCRIPTION OF POSITION

• The Payer Response Analyst posts payments both electronically and manually, maintains accurate medical billing records and documents revenue from the patient payments and insurance reimbursement.

SUPERVISION: Reports directly to the Payer Response Supervisor

RESPONSIBILITIES AND DUTIES

• Accurately analyzes payments posted on the previous day to perform Balancing on the Daily Balancing spreadsheet.
• Ability to evaluate transactions posted on an account to ensure all payments and adjustments posted are accurate and determine when an error has been made.
• Properly determines the appropriate area to assign claims needing additional follow up and assigns those based on each areas guidelines.
• Analyzes each Payer Explanation of Benefits in order to determine the next step for the account.
• Accurately processes electronic payments ensuring that all exceptions are evaluated, corrected, and posted.
• Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, deductible & coinsurance assignments .
• Properly utilizes productivity tracking mechanisms.
• Works at or above the weekly set productivity standard and completes tasks in a timely manner.
• Appropriately prioritizes work queue in order to work highest priority first based on assigned subjects.
• Documents all information in the System following the Clear Concise Consistent method.
• Consistently monitors assignment to ensure that all steps necessary to assist the Team with achieving its goals have been taken.
• Writes clearly and informatively.
• Edits work for spelling and grammar.
• Varies writing style to meet needs.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

EDUCATION AND WORK EXPERIENCE

• Bachelor’s degree and two years experience in healthcare or related field
• Alternatively, at least 6 years or equivalent work in finance or healthcare related field
• Adequate keyboarding skills( 40 words per minute typing rate); Basic computer skills.
• Strong organizational and communication skills, including ability to discuss medical issues.
• Negotiation skills including assertiveness and being proactive.
• Ability to handle multiple projects and issues at a time.

Physical Demands/Work Environment

• Work requires light duty lifting.
• Must be able to remain in a stationary position 50% of the time.
• Constantly operates a computer and other office machinery such as calculator, copy machine, and computer printer.
• Must be able to exchange accurate information with patient, family, peers and medical personnel.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

“Experience Memorial” is more than a slogan, it’s the care we provide our patients and it’s the commitment to our community and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.

Working at Lake Charles Memorial Health System | Great Place To Work®