Post Payment Review Analyst- Commercial
Summary
Reviews and reconciles healthcare payments against contracts, calculating adjustments and ensuring accuracy in patient accounting for a large hospital system.
Overview
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
Responsibilities
Calculates and reconciles contractual adjustments that are required for all
Qualifications
REQUIRED:
1. One (1) year experience in patient accounting or healthcare reimbursement, or Associates Degree in Business or related field. 2. Must be able to perform basic mathematical calculations 3. Good oral and written communication skills 4. Demonstrated knowledge of ten (10) key calculators, and personal computers and computer spreadsheet programs.
PREFERRED:
1. Prior experience interpreting UBO4 billing documents, EOB remittances against managed care contracts, and adjustment processing. 2. General knowledge of HMO/PPO contracts and credit balances 3. Basic knowledge of hospital terminology applicable to patient billing.