About the role

  • PBS IDR Analyst auditing IDR processes in a healthcare environment. Responsible for analyzing and improving outcomes related to medical billing and claims processing.

Responsibilities

  • Audit and review processes for benchmarks
  • Identify deficiencies, document findings
  • Use critical thinking and problem solving to provide analysis
  • Execute the IDR process for each dispute from initiation to completion
  • Review and audit IDR process, tracker and dashboard to ensure no data gaps
  • Communicate with IDR entities, payors and other relevant parties via phone, email or other means
  • Support and communicate with IDR leadership on quality escapes, improvement ideas and other components of the IDR process

Requirements

  • High School Diploma or general education degree (GED)
  • 1 to 3 years’ related experience and/or training; or equivalent combination of education and experience
  • Bachelor’s degree (B.A. /B.S.) preferred.
  • 3-5 years’ experience working with medical billing; claims, appeals, coding, cash posting, customer service, insurance verification, medical records
  • 3-5 years of experience in healthcare financial and revenue cycle analysis preferred
  • Strong analytical and organizational skills
  • Excellent written communication skills
  • Accuracy and Precision
  • Ability to multi-task, critically think and prioritize workload in a fast-paced environment
  • Working knowledge of healthcare payment models, revenue cycle, payer contracting, claims life cycle
  • Ability to work independently with minimal direction
  • Ability to work closely with management and trainer to identify any training opportunities to remediate deficiencies found
  • Ability to exercise discretion and judgment while auditing the work of others
  • Advanced in Microsoft Suite, including Word, Excel, PowerPoint, and Outlook.

Benefits

  • For more information on our industry-leading benefits, please visit our benefits page here

Job title

IDR Analyst

Job type

Experience level

Junior

Salary

$23 - $28 per hour

Degree requirement

High School Diploma

Location requirements

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