Northside Hospital Post Payment Review Analyst - Commercial in Georgia

Post Payment Review Analyst - Commercial

  • Facility:Center Pointe

  • Job ID:87507

  • Job Category:Bus. Office/Insurance

  • Employment Type:Full - Time

  • Shift:Day

  • Department:935A BUSINESS OFFICE

  • Location:Atlanta, GA

  • Education Required:High School Diploma

  • Experience Required:1 - 3 Years

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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.

Position Description:

Calculates and reconciles contractual adjustments that are required for all HMO, PPO, Medicare HMO, and contracted groups including Worker's Compensation and Champus.

Position Requirements:


  • General knowledge of HMO/PPO contracts and credit balances. OR, Associate's Degree in Business.

  • Must be able to perform basic mathematical calculations

  • Good communication skills and extensive 10 key and typing skills.


  • Computer experience.

  • Prior experience interpreting UB04 billing documents, EOB remittances against managed care contracts, and adjustment processing.

  • B.S. degree in Business.

Licensure/Certification Requirements:


Work Hours:


Weekend Requirements:


On-Call Requirements:


RP Code:12C

Northside Hospital is an Equal Opportunity Employer and does not discriminate in its employment practices on the basis of race, religion, sex, color, national origin, age, disability, citizenship, genetic information, veteran status or military service, or any other characteristic protected by federal law or Georgia law..