EOB/Payment Analyst
About The Position
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! West Anaheim Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1964, West Anaheim Medical Center is a 219-bed acute-care hospital dedicated to providing the community with high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more information visit www.westanaheimmedctr.com. 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 Hospital's 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.
Requirements
- Minimum three years hospital billing and collection experience.
- Medical and Insurance terminology essential.
- Knowledge of CPT, ICD-9, HCPCS coding structures
Responsibilities
- accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received
- analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospital's 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.
Benefits
- paid time off
- a 401K retirement plan
- medical, dental, and vision coverage
- tuition reimbursement
- many more voluntary benefit options
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
Number of Employees
101-250 employees
