Payer Analyst

Job Summary

A company is looking for a Payer Analyst to assist the Billing Department in navigating payer guidelines and resolving claim issues.

Key Responsibilities

• Research and interpret contract terms while compiling necessary documentation for outstanding accounts receivable resolution
• Identify and escalate claim issues with payors and stakeholders as needed
• Analyze data to monitor payer trends and ensure compliance with managed care contracts

Required Qualifications

• Strong understanding of hospital/physician billing principles and payer guidelines
• Experience with Revenue Cycle Services operations, particularly with managed care and commercial payors
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
• Ability to work independently in a remote environment with minimal supervision
• Experience in implementing process improvements based on leadership directives