What are the responsibilities and job description for the Financial Recovery Data Analyst position at MedPOINT Management?
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
o Follow specific submission instructions for each plan
o Update tracking sheets and apply corresponding rates
o Post payments and calculate outstanding amounts
o Send tracking updates to the IPA / Hospital Analysts
o Review payments and adjustments for accuracy
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
Minimum Job Requirements
Skill and Abilities