Financial Recovery Data Analyst Job at MedPOINT Management, Los Angeles, CA

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  • MedPOINT Management
  • Los Angeles, CA

Job Description

Job Description

Job Description

Summary

Under the guidance of the Auditing & Recoveries Manager & Supervisor, the Financial Recovery Data Analyst is responsible for overlooking the OB Maternity Kick agreements for MPM’s Hospital & IPA clients. This includes submitting, tracking & reconciling deliveries.

 

Duties and Responsibilities

  • Prepare monthly reporting for OB Kick
  • Run authorization & claim reports to identify potential delivery cases
  • Research & confirm livebirth deliveries
  • Submit and track deliveries
  • Follow specific submission instructions for each plan
  • Update tracking sheets and apply corresponding rates
  • Monitor payments being received
  • Post payments and calculate outstanding amounts
  • Send tracking updates to the IPA/Hospital Analysts
  • Review payments and adjustments for accuracy
  • Reconcile outstanding deliveries and incorrect adjustments
  • Research & compile supporting documentation
  • Submit appeals to the health plans
  • Track correspondence & follow up as needed
  • Annotate tracking and remove expected amounts for ineligible deliveries
  • Coordinate with AR, Claims, Contracting, DOFR, Eligibility & Hospital Ops teams
  • Respond to internal & external requests as needed
  • Cross training on other responsibilities of the Sr. Financial Recovery Data Analyst

 

Minimum Job Requirements

  • High School Diploma or G.E.D. is required
  • Associate’s or Bachelor’s Degree in Business, Healthcare Management, or Technology is preferred
  • 1 year + of related work experience in healthcare or data driven environment
  • 1 year + experience working with large data files
  • Proficiency in Microsoft Office (Excel, Outlook, Word, etc)

 

Skill and Abilities

  • Excellent written & verbal communication skills
  • Strong analytical & critical thinking
  • Ability to multi-task while maintaining a high standard of work
  • Technological literacy

Job Tags

Work experience placement,

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