What are the responsibilities and job description for the Payer Response Analyst position at Lake Charles Memorial Health System?
DESCRIPTION OF POSITION:
- The Payer Response Analyst posts payments both electronically and manually, maintains accurate medical billing records and documents revenue from the patient payments and insurance reimbursement.
SUPERVISION: Reports directly to the Payer Response Supervisor
RESPONSIBILITIES AND DUTIES:
- Accurately analyzes payments posted on the previous day to perform Balancing on the Daily Balancing spreadsheet.
- Ability to evaluate transactions posted on an account to ensure all payments and adjustments posted are 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, deductible & coinsurance 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
- Bachelor’s degree and two years experience in healthcare or related field
- Alternatively, at least 6 years or equivalent work in finance or healthcare related field
- Adequate keyboarding skills( 40 words per minute typing rate); Basic computer skills.
- Strong organizational and communication skills, including ability to discuss medical issues.
- Negotiation skills including assertiveness and being proactive.
- Ability to handle multiple projects and issues at a time.
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.
“Experience Memorial” is more than a slogan, it’s the care we provide our patients and it’s the commitment to our community and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.
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