About the role

  • PBS IDR Analyst auditing and reviewing processes for improvement and executing IDR processes. Communicating with IDR entities and leadership for quality and improvement ideas.

Responsibilities

  • Audit and review processes for benchmarks
  • Identify deficiencies, document findings
  • Use critical thinking and problem-solving to provide analysis
  • Determine opportunities to improve outcomes and/or processes
  • Execute the IDR process for disputes 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 for follow up
  • Support and communicate with IDR leadership on quality escapes and improvement ideas

Requirements

  • High School Diploma or general education degree (GED) and 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 with multiple departments and understand the processes and workflow for each
  • 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

PBS IDR Analyst

Job type

Experience level

Junior

Salary

$23 - $28 per hour

Degree requirement

High School Diploma

Location requirements

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