Payer Compliance Analyst

Job Summary

A company is looking for a Payer Compliance Analyst.

Key Responsibilities:

• Analyze allowed amounts received on claims to determine appropriateness per contract
• Identify and resolve payer issues impacting receivables
• Communicate with internal team members and insurance companies to address payer issues

Qualifications, Training, and Education:

• High School graduate or equivalent
• Bachelors degree preferred
• Minimum of five years of experience in healthcare revenue cycle
• Functional knowledge of Excel and Word is required
• Familiarity with basic medical terminology and concepts preferred