EOB/Payment Analyst
5 days ago
Overview:
Saint Mary's Regional Medical Center is a leading healthcare provider in Northern Nevada, offering a comprehensive range of inpatient, outpatient, and ancillary services. As a trusted community partner, we strive to deliver exceptional patient care and outcomes.
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 complex regulations, guidelines, and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospitals receivables.
- Proactively works with payers and in-house 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:
- Minimum three years hospital billing and collection experience.
- Medical and Insurance terminology essential.
- Knowledge of CPT, ICD-9, HCPCS coding structures.
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