MMG Archer Institute Payer Response Analyst

DESCRIPTION OF POSITION/RESPONSIBILITIES AND DUTIES:

• Accurately analyzes payments posted on the previous day to perform Balancing on the Daily Balancing spreadsheet.
• Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted area accurate and determine when an error has been made.
• Properly determines the appropriate area to assign claims needing additional follow up and assigns those based on each areas guidelines.
• Analyzes each Payer Explanation of Benefits in order to determine the next step for the account.
• Accurately processes electronic payments ensuring that all exceptions are evaluated, corrected, and posted.
• Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, ded & coins assignments .
• Properly utilizes productivity tracking mechanisms.
• Works at or above the weekly set productivity standard and completes tasks in a timely manner.
• Appropriately prioritizes work queue in order to work highest priority first based on assigned subjects.
• Documents all information in the System following the Clear Concise Consistent method.
• Consistently monitors assignment to ensure that all steps necessary to assist the Team with achieving its goals have been taken.
• Writes clearly and informatively.
• Edits work for spelling and grammar.
• Varies writing style to meet needs.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

EDUCATION AND WORK EXPERIENCE

• High school graduate or GED certificate.
• At least one year experience in Healthcare or related field preferred.
• 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
• Strong organizational and communication skills, including ability to discuss medical issues; Negotiation skills including assertiveness and being proactive.

Physical Demands/Work Environment

• Work requires light duty lifting.
• 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.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.