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US Digestive Health · 6 hours ago

Payor Analyst

Wyomissing,PA,US

Full-time

Onsite

Entry, Mid Level

2+ years exp

US Digestive Health is seeking a Payor Analyst responsible for completing complex appeals, refund audits, and payor projects. The role involves resolving denied claims, maintaining documentation, and participating in departmental communication.

Health Care

Responsibilities

Assist in resolving denied, scrubbed, or held claims by investigating rejected claims, utilizing provider websites or phone conversations to determine corrective actions

Maintain appropriate documentation and files regarding all patient account interactions in the Revenue Cycle Management System

Field questions from co-workers and staff as required

Actively participate in facility and departmental communication through daily review of email messages

Review claim documentation and correct coding when necessary

Recognize and research trending claim denials

Stay updated on specific billing requirements to ensure appropriate claims processing and reimbursement

Perform any other duties as assigned by the manager