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Account Analyst - Managed Care - Healthcare

Account Analyst - Managed Care - Healthcare

Job Description

Navigant Healthcare Cymetrix is a rapidly growing full continuum healthcare revenue cycle solutions firm based in California.  We are an innovative partner delivering customized revenue cycle solutions exclusively within the healthcare community. We are dedicated to understanding our clients’ needs and producing exceptional results through superior execution. We are currently seeking a qualified and professional healthcare individual to fill a full-time Account Analyst position within the San Diego, CA area.

 The Account Analyst will identify, document and collect managed care underpayments for Managed Care Payment Review (MCR) clients. Perform any and all related job duties as assigned.

Essential Job Functions

  • Collect on identified underpayments
  • Document any activity that affects account
  • Reconcile accounts based on contract terms
  • Work w/contract dept. on any pricing issues


Duties and Responsibilities

  • Review managed care payments to verify consistency with payment terms of corresponding contract between client and payor.
  • Maintain accurate, timely and thorough documentation regarding underpayments.
  • Bill payors for additional payment.
  • Perform timely and effective collection efforts.
  • Maintain departmental databases.
  • Produce periodic status reports.
  • Assist departmental staff with assigned tasks.
  • Maintain confidentiality of company, client and patient information.


Client Responsibility

  • Maintain confidentiality of all private health information and contract terms.
  • Perform all activities within the limitations of applicable laws and regulations.
  • Maximize collection of patient accounts.
  • Perform all responsibilities in a professional manner and consistent with the instructions provided by the client.

Job Requirements

  • Minimum of two years of work experience in healthcare billing/collections or claims processing environment, hospital experience preferred.
  • Excellent organizational and analytical skills.
  • Strong interpersonal and verbal and written English language skills sufficient to interact effectively with both internal and external contacts.
  • Basic accounting and math skills.
  • Highly detailed and able to handle multiple tasks concurrently.
  • Able to meet deadlines and perform with minimal supervision.
  • Persuasive negotiator.
  • Computer keyboard and word processing skills sufficient to meet production and quality standards.

Navigant Cymetrix is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender identity or expression, age, or any other basis protected by law, ordinance, or regulation.

Job Snapshot

Base Pay $18.00 - $23.00 /Hour
Other Pay Compensation commensurate with experience.
Employment Type Full-Time
Job Type Health Care, Insurance
Education Not Specified
Experience At least 2 year(s)
Manages Others No
Relocation No
Industry Healthcare - Health Services
Required Travel None
Job ID 1119
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Account Analyst - Managed Care - Healthcare

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