Eob/Payment Analyst - Patient Accounting

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Encino Hospital Medical Center, a member of the Prime Healthcare Foundation, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Encino Hospital Medical Center is a 150-bed state-of-the-art hospital located in Encino, California. Its multi-disciplinary staff consists of 330 physicians and 520 professional support staff.

Encino Hospital Medical Center serves a diverse population and incorporates elements of urban and suburban medicine in a caring environment. It offers a wide array of inpatient and outpatient services. The hospital is consistently at the forefront in providing innovative and integrated healthcare. For more information, visit: www.encinomed.org

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws.

The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

Responsibilities

Under the supervision of the Director, the Payment Review Specialist position is responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospital?s receivables.

Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate State and Federal regulations in order to assure compliance in payment practices.

Qualifications

Education and Work Experience

Minimum three years hospital billing and collection experience. Medical and Insurance terminology essential. Knowledge of CPT, ICD-9, HCPCS coding structures

Encino Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.

A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $17.05 to $22.25. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.