Payer Response Analyst (Full Time)

Lake Charles Memorial Hospital • Lake Charles, LA

3d • Onsite

About The Position

The Payer Response Analyst posts payments both electronically and manually, maintains accurate medical billing records and documents revenue from patient payments and insurance reimbursement. This role involves analyzing payments, evaluating transactions, processing electronic payments, and ensuring accuracy in posting various financial entries. The analyst will also be responsible for assigning claims for follow-up, analyzing Explanation of Benefits, and documenting all information in the system according to established methods. Strong organizational and communication skills are essential for this position, as is the ability to work efficiently and meet productivity standards.

Requirements

• High school graduate or GED certificate.
• Adequate keyboarding skills (40 words per minute typing rate).
• Basic computer skills.
• Strong organizational and communication skills, including ability to discuss medical issues.
• Ability to read, write and speak intelligible English.
• Ability to communicate with patient, family, peers and medical personnel.
• Negotiation skills including assertiveness and being proactive.
• 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.

Nice To Haves

• At least one year experience in Healthcare or related field preferred.

Responsibilities

• Accurately analyze payments posted on the previous day to perform balancing on the Daily Balancing spreadsheet.
• Evaluate transactions posted on an account to ensure all payments and adjustments are accurate and determine when an error has been made.
• Properly determine the appropriate area to assign claims needing additional follow-up and assign those based on each area's guidelines.
• Analyze each Payer Explanation of Benefits to determine the next step for the account.
• Accurately process electronic payments, ensuring all exceptions are evaluated, corrected, and posted.
• Accurately post transactions based on assigned duties, ensuring keying is correct for all payments, adjustments, and ded & coins assignments.
• Properly utilize productivity tracking mechanisms.
• Work at or above the weekly set productivity standard and complete tasks in a timely manner.
• Appropriately prioritize work queue to work the highest priority first based on assigned subjects.
• Document all information in the System following the Clear Concise Consistent method.
• Consistently monitor assignment to ensure all steps necessary to assist the Team with achieving its goals have been taken.
• Write clearly and informatively.
• Edit work for spelling and grammar.
• Vary writing style to meet needs.

Benefits

• 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.
• Contributions are valued, growth is nurtured, and success is celebrated.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED