Billing Payer Response Analyst

hace 2 días

San Francisco, Heredia, Costa Rica Auxis- US A tiempo completo


Job Summary

The Billing Payer Response Analyst is responsible for review and correction of claims rejected by the payer. This includes identifying trends and requesting updates to process and system master files to reduce future rejections by the payer.



Responsibilities


• Review and timely resolution of payer claim rejections, including but not limited to claim resubmission and update of payer identification for the account.

• Documenting root cause of payer rejection for trending and staff education.

• Requesting process and/or system edit modifications to eliminate or reduce future payer claim rejections.

• Trending of payer rejections for delivery to Billing Manager and distribution to impacted departments.

• Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement".

• Other duties as assigned



Skills and Experience


• English – Spanish Language (Oral and writing B2+ or above).

• Must have a high school diploma.

• At least 1 year of experience in Customer Service or Backoffice positions.

• The resource will adjust its local schedule with the resources supporting this position during Daylight Saving Time changes in the Eastern Time Zone.

• A genuine interest in working with and helping customers.

• Must possess excellent communication skills and involvement.

• Demonstrated experience in providing high levels of customer satisfaction and performance in a high transaction volume/high demand environment preferred.

• Good presentation and a polite, tactful, and friendly character.

• Healthcare experience is a plus.

#LI-AC1



About Auxis

Auxis prioritizes employee growth and development to help you advance your career. Auxis' culture empowers you to be your best in the interest of a common team goal. We are constantly striving to improve our culture and environment and have invested in tools to continue to have better visualization of the pulse of our organization.

Benefits

  • Health benefits including medical, vision, and dental.
  • Asociacion Solidarista
  • Training and development programs
  • Employee recognition program
  • Paid time off and family-paid leave
  • Paid day off for your birthday

  • Billing Payer Response Analyst

    hace 1 semana

    San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    Job Summary:The Billing Payer Response Analyst is responsible for review and correction of claims rejected by the payer. This includes identifying trends and requesting updates to process and system master files to reduce future rejections by the payer.Responsibilities:Review and timely resolution of payer claim rejections, including but not limited to claim...

  • Billing Analyst

    hace 2 días

    San Francisco, Heredia, Costa Rica Equifax A tiempo completo

    The Billing Analyst Junior will join the C2O team to ensure the financial accuracy of contract fulfillment. Key responsibilities include meticulously reviewing contract terms and financial data, maintaining precise records, and generating financial reports. The role also involves assisting in the resolution of discrepancies related to customer contracts,...

  • Billing Analyst

    hace 2 días

    San Francisco, Heredia, Costa Rica Equifax A tiempo completo

    The Billing Analyst Junior will join the C2O team to ensure the financial accuracy of contract fulfillment. Key responsibilities include meticulously reviewing contract terms and financial data, maintaining precise records, and generating financial reports. The role also involves assisting in the resolution of discrepancies related to customer contracts,...

  • Billing Analyst

    hace 2 días

    San Francisco, Heredia, Costa Rica Equifax A tiempo completo

    This vital role is responsible for the entire billing life cycle, guaranteeing maximum accuracy by efficiently managing customer profiles and ensuring timely invoice generation and distribution. The specialist actively resolves basic customer disputes and discrepancies. Furthermore, the position provides key financial oversight through preparing billing...

  • Sr Billing Analyst

    hace 7 días

    San Francisco, Heredia, Costa Rica Moody's A tiempo completo

    At Moody's, we unite the brightest minds to turn today's risks into tomorrow's opportunities. We do this by striving to create an inclusive environment where everyone feels welcome to be who they are—with the freedom to exchange ideas, think innovatively, and listen to each other and customers in meaningful ways. Moody's is transforming how the world sees...

  • Sr Billing Analyst

    hace 7 días

    San Francisco, Heredia, Costa Rica Moody's Corporation A tiempo completo

    At Moody's, we unite the brightest minds to turn today's risks into tomorrow's opportunities. We do this by striving to create an inclusive environment where everyone feels welcome to be who they are—with the freedom to exchange ideas, think innovatively, and listen to each other and customers in meaningful ways. Moody's is transforming how the world sees...

  • Underpayment Analyst

    hace 1 semana

    San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    Job Summary:The Underpayment Analyst is responsible for investigating and resolving underpayments.Responsibilities:Perform and validate discrepancy reason coding in the underpayment inventory.Manage additional payments from payers for underpayment discrepancies through various means of communication, such as phone calls, online platforms, or payment package...

  • PSC Billing Coordinator

    hace 2 semanas

    San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    Job SummaryThe Billing Coordinator Analyst (HM and EM) assist in resolving claim errors that are preventing patient claims from billing by working assigned work queues to resolution.  ResponsibilitiesDuties will be performed by each individual depending on the assignment of responsibilities:Analyze and resolve specific claim errors that are delaying claims...

  • Jr Appeals Collectors

    hace 7 días

    San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    Job SummaryThe Jr Appeals Collector is responsible for performing follow up on all appeals submitted to the payer for timely payment and resolutionResponsibilitiesPursue additional payment on open appeals through various means of communication, such as telephonically, online, or via payment package processes with payers and patients.Overcome objections that...

  • Jr Appeals Collectors

    hace 40 minutos

    San Francisco, Heredia, Costa Rica Auxis- US A tiempo completo

    Job SummaryThe Jr Appeals Collector is responsible for performing follow up on all appeals submitted to the payer for timely payment and resolutionResponsibilitiesPursue additional payment on open appeals through various means of communication, such as telephonically, online, or via payment package processes with payers and patients.Overcome objections that...