Job Summary – The Underpayment Analyst is responsible for researching and resolving Underpayments.
Supervisor – Underpayment Resolution Manager
Duties (included but not limited to):
Perform and validate discrepancy reason coding of underpayment inventory
Pursue additional payment from payers on underpayment discrepancies through various means of communication, such as telephonically, online or via payment package processes.
Overcome objections that prevent payment of the claim
Gain commitment for payment through concise and factual collection techniques.
Communicate trends to management as identified
Facilitate correction of non payment related underpayment discrepancies through I plan changes or coordination with other departments as needed
Identify and communicate trends to management, including those that might be appropriate for the dispute resolution process
Escalate accounts to appropriate individuals at the payer and via SSC management as needed, including accounts with lack of timely payer response
Utilize effective documentation standards that support a strong historical record of actions taken on the account.
Meet the productivity and quality standards of the organization
Complete and comprehend all educational requirements
Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
Other duties as assigned
KNOWLEDGE, SKILLS & ABILITIES
communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
Customer orientation establishes and maintains long term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Interpersonal skills able to work effectively with other employees, patients and external parties
PC skills demonstrates proficiency in Microsoft Office applications and others as required
Policies & Procedures demonstrates knowledge and understanding of organizational policies, procedures and systems
Basic skills demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.
Join our HealthONE family -- the largest healthcare system in the Denver metro area. Eight world-class hospitals. 40+ outpatient facilities. Countless opportunities.HealthONE is an equal opportunity employer.