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Financial Recovery Data Analyst

MedPOINT Management
Los Angeles, CA Full Time
POSTED ON 2/21/2025
AVAILABLE BEFORE 5/20/2025

Job Description

Job Description

Summary

Under the guidance of the Auditing & Recoveries Manager & Supervisor, the Financial Recovery Data Analyst is responsible for overlooking the OB Maternity Kick agreements for MPM’s Hospital & IPA clients. This includes submitting, tracking & reconciling deliveries.

Duties and Responsibilities

  • Prepare monthly reporting for OB Kick

o Run authorization & claim reports to identify potential delivery cases

o Research & confirm livebirth deliveries

  • Submit and track deliveries
  • o Follow specific submission instructions for each plan

    o Update tracking sheets and apply corresponding rates

  • Monitor payments being received
  • o Post payments and calculate outstanding amounts

    o Send tracking updates to the IPA / Hospital Analysts

    o Review payments and adjustments for accuracy

  • Reconcile outstanding deliveries and incorrect adjustments
  • o Research & compile supporting documentation

    o Submit appeals to the health plans

    o Track correspondence & follow up as needed

    o Annotate tracking and remove expected amounts for ineligible deliveries

  • Coordinate with AR, Claims, Contracting, DOFR, Eligibility & Hospital Ops teams
  • Respond to internal & external requests as needed
  • Cross training on other responsibilities of the Sr. Financial Recovery Data Analyst
  • Minimum Job Requirements

  • High School Diploma or G.E.D. is required
  • Associate’s or Bachelor’s degree in Business, Healthcare Management, or Technology is preferred
  • 1 year of related work experience in healthcare or data driven environment
  • 1 year experience working with large data files
  • Proficiency in Microsoft Office (Excel, Outlook, Word, etc)
  • Skill and Abilities

  • Excellent written & verbal communication skills
  • Strong analytical & critical thinking
  • Ability to multi-task while maintaining a high standard of work
  • Technological literacy
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