Audit and review processes for benchmarks
Identify deficiencies, document findings
Use critical thinking and problem-solving to provide analysis
Determine opportunities to improve outcomes and/or processes
Execute the IDR process for disputes from initiation to completion
Review and audit IDR process, tracker, and dashboard to ensure no data gaps
Communicate with IDR entities, payors, and other relevant parties for follow up
Support and communicate with IDR leadership on quality escapes and improvement ideas

High School Diploma or general education degree (GED) and 1 to 3 years’ related experience and/or training; or equivalent combination of education and experience
Bachelor’s degree (B.A. /B.S.) preferred
3-5 years’ experience working with medical billing; claims, appeals, coding, cash posting, customer service, insurance verification, medical records
3-5 years of experience in healthcare financial and revenue cycle analysis preferred
Strong analytical and organizational skills
Excellent written communication skills
Accuracy and Precision
Ability to multi-task, critically think and prioritize workload in a fast-paced environment
Working knowledge of healthcare payment models, revenue cycle, payer contracting, claims life cycle
Ability to work with multiple departments and understand the processes and workflow for each
Ability to work independently with minimal direction
Ability to work closely with management and trainer to identify any training opportunities to remediate deficiencies found
Ability to exercise discretion and judgment while auditing the work of others
Advanced in Microsoft Suite, including Word, Excel, PowerPoint, and Outlook.

For more information on our industry-leading benefits, please visit our benefits page here.

PBS IDR Analyst

Key skills