Northside Hospital Post Payment Review Analyst - Commercial in Georgia
Post Payment Review Analyst - Commercial
Job Category:Bus. Office/Insurance
Employment Type:Full - Time
Department:935A BUSINESS OFFICE
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.
Calculates and reconciles contractual adjustments that are required for all HMO, PPO, Medicare HMO, and contracted groups including Worker's Compensation and Champus.
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.
Prior experience interpreting UB04 billing documents, EOB remittances against managed care contracts, and adjustment processing.
B.S. degree in Business.
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..