What are the responsibilities and job description for the Payer Analyst - Remote in Chappaqua, NY position at UnitedHealth Group?
- The Payer Analyst will support short and long term operational and strategic business activities by managing and maintaining pre-AR claim data.
- This individual will gather required data for the creation of Excel workbooks and pivot tables to be shared with the Revenue Cycle Management team.
- Supports the assignment of pre-AR claim responsibilities for the Revenue Cycle Management Vendor.
- Engages in analyzing data and reporting projects by gathering required data and sharing reports with the applicable Revenue Cycle Management departments.
- Daily review, correction and submission of claims identified in the clearing house rejections.
- Analyze claim edits and clearing house rejections to identify rules for addition to the automated claim scrubber engine to improve efficiencies.
- Collaborate with stakeholders to understand business objectives and requirements.
- Partners with cross-functional teams to implement process improvements and enhance operational efficiency.
- Perform error corrections on charges and payments in the billing system as needed.
- Execute insurance eligibility review utilizing online portals or telephone communication.
- Modify demographic and insurance information in billing system as needed.
- Participate in bi-weekly calls with RCM vendor to review and resolve pre-billing claim edit and clearing house rejections.
Required Qualification
- High School Diploma/GED
- 18 years or older
- 4 years healthcare revenue cycle management experience
- Knowledge of medical terminology and procedures, medical coding (ICD-9, ICD-10, HCPS) and insurance processes.
- Intermediate experience using Excel
- Expectation of confidentiality on all business matters.
- Ability to work Monday - Friday 8:00 am -4:30 pm
Preferred Qualification
- Epic experience
Telecommuting Requirements
- Reside within commutable distance to CHAPPAQUA-480 BEDFORD RD., CHAPPAQUA, NY
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
Soft Skills
- Ability to multi-task, this includes ability to understand multiple workflows to work efficiently.
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO
Salary : $17 - $33
