Payment Cycle Analyst IV
Location
United States
Posted
7 days ago
Salary
$83K - $132.8K / year
Seniority
Lead
Job Description
Payment Cycle Analyst IV
CareSource
• Payment Cycle Analyst IV is responsible for conducting both systemic and targeted analysis to identify reimbursement errors and to determine root cause. • Collaborating with Configuration, Configuration UAT, Enterprise UAT, IT Claims, and Payment Cycle Team members to ensure test scripts are comprehensive. • Proactively collaborates with various teams to support contracting implementations and resolution of complex claims issues. • Validate MCA Tests for expected results and communicate information to Reimbursement Analysts and HP Managers for provider notification. • Create effective written and oral communication materials that summarize findings and support fact-based recommendations
Job Requirements
- Bachelor’s degree or equivalent years of relevant work experience is required
- Minimum of seven (7) years of health plan experience is required or equivalent experience with health plan operations and configuration
- Experience with user testing is required
- Experience with payment methodologies and industry pricers (ex: DRG, APC, SNF, RBRVS) is preferred
Benefits
- Bonuses tied to company and individual performance
- Substantial and comprehensive total rewards package
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