PBS IDR Analyst

Air Methods•Greenwood Village, CO

12d•$23 - $28

About The Position

The PBS IDR Analyst will audit and review processes for benchmarks, identify deficiencies, document findings, use critical thinking and problem solving to provide analysis and determine opportunities to improve outcomes and/or processes. This role is responsible for knowing CMS NSA Guidelines and quickly adapt to the changes within the No Surprise Act. The PBS IDR Analyst will define problems, collect data, identify causal factors, identify root causes, and recommend and implement solutions. This position has analytical, and/or administrative responsibilities specific to the department. Responsible for being up to date on department processes and involves specialized background or knowledge regarding claims processing rules relevant to the assignment.

Requirements

High School Diploma or general education degree (GED) and 1 to 3 years’ related experience and/or training; or equivalent combination of education and experience
Strong analytical and organizational skills
Excellent written communication skills
Accuracy and Precision
Ability to multi-task, critically think and prioritize workload in a fast-paced environment
Working knowledge of healthcare payment models, revenue cycle, payer contracting, claims life cycle
Ability to work with multiple departments and understand the processes and workflow for each
Ability to work independently with minimal direction
Ability to work closely with management and trainer to identify any training opportunities to remediate deficiencies found
Ability to exercise discretion and judgment while auditing the work of others
Advanced in Microsoft Suite, including Word, Excel, PowerPoint, and Outlook.

Nice To Haves

Bachelor’s degree (B.A. /B.S.) preferred.
3-5 years’ experience working with medical billing; claims, appeals, coding, cash posting, customer service, insurance verification, medical records
3-5 years of experience in healthcare financial and revenue cycle analysis preferred

Responsibilities

Execute the IDR process for each dispute from initiation to completion. This includes, but not limited to submitting initiations, indexing, making fee payments, building offers, submitting offers, and updating tracker
Review and audit IDR process, tracker and dashboard to ensure no data gaps to accurately gather, synthesize and communicate timely relevant information to ensure IDR process is performing without error.
Communicate with IDR entities, payors and other relevant parties via phone, email or other means for follow up and tracking purposes
Support and communicate with IDR leadership on quality escapes, improvement ideas and other components of the IDR process to maintain timely process
Other duties as assigned
Regular scheduled attendance
Subject to applicable laws and Air Method’s policies, regular attendance is an essential function of the position.
All employees must follow Air Methods’ employment practices and policies.