EOB/Payment Analyst - Patient Accounting

Desert Valley Hospital & Medical Group; Victorville (CA); On-site; USD 32,000 - 36,000; Full time

Benefits offered by this job

Paid Time Off

401K retirement plan

Medical coverage

Dental coverage

Vision coverage

Tuition Reimbursement

Voluntary Benefit Options

Job summary

Desert Valley Hospital is seeking a Payment Review Specialist to analyze insurance payments and ensure correct reimbursement. You will work under the Director to coordinate with payers and internal resources, applying regulatory guidelines to guarantee compliant payment practices.

The role emphasizes accuracy in managed care contract analyses, a focus on resolving payer issues, and maintaining optimum receivables while upholding hospital policy and federal/state requirements.

Qualifications

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

Responsibilities

• Analyze payments from insurance companies to ensure maximum and correct reimbursement.
• Collaborate with payers and internal teams to resolve payment issues.
• Apply State and Federal regulations to ensure compliant payment practices.

Skills

Payment analysis

Payer liaison

Education

CPT/ICD-9/HCPCS coding knowledge

Medical terminology

Job description

Overview

Desert Valley Hospital is an accredited 148-bed acute care hospital located in Southern California. Desert Valley Hospital is in the top 5% of more than 4,500 hospitals nationwide for clinical performance. The hospital has achieved numerous quality award distinctions including Patient Safety Excellence Award, Women’s Health Excellence Award and Distinguished Hospital Clinical Excellence Award. Desert Valley Hospital, along with Desert Valley Medical Group, offers key services to the community including heart care, emergency services, labor and delivery, surgical services and more. For more information visit www.DesertValleyHospital.com .

Join an award-winning team of dedicated professionals

Committed to our core values of quality, compassion and community ! Why Prime Healthcare? Desert Valley Hospital, 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.

Benefits

• Paid Time Off
• 401K retirement plan
• Outstanding Medical
• Dental
• Vision Coverage
• Tuition Reimbursement
• Many more Voluntary Benefit Options!

Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time.

This is a Fast-paced work environment in which you can take pride in serving an underserved community. Come Join a Team of Dedicated Healthcare Workers!!!

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

Pay Transparency

Desert Valley Hospital 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 $23.00 to $26.25. 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.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

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

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