Payment Cycle Analyst IV
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Job Description
Payment Cycle Analyst IV responsible for analyzing reimbursement errors and collaborating with teams for comprehensive test scripts. Position involves contract implementations and communication of findings.
Responsibilities:
- Payment Cycle Analyst IV is responsible for conducting both systemic and targeted analysis to identify reimbursement errors and to determine root cause.
- Collaborating with Configuration, Configuration UAT, Enterprise UAT, IT Claims, and Payment Cycle Team members to ensure test scripts are comprehensive.
- Proactively collaborates with various teams to support contracting implementations and resolution of complex claims issues.
- Validate MCA Tests for expected results and communicate information to Reimbursement Analysts and HP Managers for provider notification.
- Create effective written and oral communication materials that summarize findings and support fact-based recommendations
Requirements:
- Bachelor’s degree or equivalent years of relevant work experience is required
- Minimum of seven (7) years of health plan experience is required or equivalent experience with health plan operations and configuration
- Experience with user testing is required
- Experience with payment methodologies and industry pricers (ex: DRG, APC, SNF, RBRVS) is preferred
Benefits:
- Bonuses tied to company and individual performance
- Substantial and comprehensive total rewards package
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