Post Payment Review Specialist- Commercial at Northside Hospital Inc., Atlanta, GA

Post Payment Review Specialist- Commercial at Northside Hospital Inc. in Atlanta, GA. Contract. Est. up to $100k. Apply with swipeandhired.

Category Bus. Office/Insurance Position Type Full - Time Shift Day Work Hours 7am - 3:45pm Location/Org Data: Name Perimeter Summit Location: Address 1001 Perimeter Summit Pkwy Location: Postal Code 30319 Referral Bonus Amount $750 Facility: Location US-GA-Atlanta Overview 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. Responsibilities Responsible for reviewing and analyzing complex payer contracts' reimbursement to identify trends and payments inconsistent with contractual rates and terms for non-government payers. Calculates and reconciles contractual adjustments that are required for all HMO, PPO and contracted groups including Worker's Compensation and Champus. The position is also responsible for submission of overpayments to the payers and for the notification of any patient overpayments. Qualifications REQUIRED: 1. Three (3) years' experience in patient accounting or healthcare reimbursement or Associates degree with two (2) years' experience 2. General knowledge of HMO/PPO contracts and credit balances 3. Prior experience interpreting UBO4 billing documents, EOB remittances against managed care contracts, and adjustment processing. 4. Basic knowledge of hospital terminology applicable to patient billing. 5. Must be able to perform basic mathematical calculations 6. Good oral and written communication skills 7. Demonstrated knowledge of ten (10) key calculators, and personal computers and computer spreadsheet programs. PREFERRED: 1. Associate's Degree in Business or related field Work Hours (EX:7AM-7PM): 7am - 3:45pm