Payments Operations (Healthcare) Analyst

Payments Operations (Healthcare) Analyst

Job Title: Payments Operations (Healthcare) Analyst

Location: Brooklyn, NY and Tempe, AZ (100% Onsite)

Duration: 12 Months

Pay Range: $25-30/hr

Top Skills

Payments Operations (Healthcare) Analyst, Explanation of Benefits, EOB, data verification, data accuracy, Data Entry, HIPAA, medical Billing, Payment Posting

Job Description

Must-have skills include being well versed in Explanation of Benefits (EOBs), healthcare providers and insurers' behaviors, and balancing.

Focuses on high-speed, high-accuracy alpha and numeric data entry from medical documents. Responsible for posting payments from insurance carriers (EOBs) and patients, balancing daily deposits, and reconciling remittances to ensure accurate accounts receivable data.

• Interpret and accurately key data from paper and electronic EOBs into the RMS.
• Identify, calculate, and apply contractual adjustments, deductibles, copays, and co-insurance based on payer contracts.
• Balance daily deposits (cash logs) against system posting reports.
• Resolve discrepancies between the payment amount and the billed amount.
• Ensure compliance with HIPAA and confidentiality guidelines when handling PHI (Protected Health Information).
• Key alphanumeric data from EOBs, payment notices, and correspondence in assigned batches.
• Perform data verification to ensure accuracy.
• Meet daily quotas for number of claims keyed.

The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance, long-term disability insurance, short-term disability insurance, paid parking/public transportation, paid time off, paid sick and safe time, hours of paid vacation time, weeks of paid parental leave, and paid holidays annually as applicable.