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.