Insurance Underpayments Analyst

Responsibilities

• Respond to manager's requests in a timely manner.
• Able to recognize any variances regarding payments from all third party carriers.
• Advises manager on any discrepancies to ensure that corrections, if applicable are made to each plan.
• Corrects all log errors as they occur in a timely and satisfactory manner.
• Documents all actions in note screen of Patient Accounting system.
• Has a good understanding of all insurance regulations and requirements for accurate maintenance of the cost payer logs.
• Posts allowed adjustments as needed to assigned accounts.
• Directs any problems with accounts or where additional intervention is needed to management for resolution.
• Contact third party payers when changes occur in the reimbursement amount to determine of corrections need to be made in the discount.

Qualifications

• Proactive, assertive articulates knowledge and understanding of payer claims processing philosophies.
• Understands complex managed care agreements.
• The ability to communicate clearly and concisely both verbally and writing.
• Customer focused, providing service consistently exceeding expectations to both internal and external customers.
• Proficiency in Microsoft Office applications and others as required.
• Ability to prioritize needs and to manage resources.
• High school diploma or equivalent and 1-3 years contract analysis experience preferred.