The Underpayment Analyst is responsible for investigating and resolving underpayments.
• Perform and validate discrepancy reason coding in the underpayment inventory.• Manage additional payments from payers for underpayment discrepancies through various means of communication, such as phone calls, online platforms, or payment package processes.• Overcome objections preventing claim payment.• Obtain payment commitment using concise, fact-based collection techniques.• Communicate trends to management as they are identified.• Facilitate correction of underpayment discrepancies not related to non-payment through I-Plan changes or by coordinating with other departments as needed.• Identify and communicate trends to management, including those appropriate for the dispute resolution process.• Escalate accounts to the appropriate individuals within the payer and through SSC management as needed, including accounts with untimely payer responses.• Apply effective documentation standards that support a solid history of actions taken on the account.• Meet the organization’s productivity and quality standards.• Complete and understand all educational requirements.• Practice and adhere to the philosophy of the “Code of Conduct” and the “Mission and Values Statement.”• Perform other assigned duties.
General Requirements • English – Spanish (oral and written B2 or above).• High School Diploma.• Minimum 1 year of experience in customer service or Accounts Receivable (AR) roles.• Experience in process quality assurance (QA) roles is a plus.
Skills:• Ability to organize and manage multiple tasks accurately within short timeframes.• Ability to work quickly and accurately in a dynamic environment while handling multiple demands.• Ability to work independently and as part of a team.• Strong attention to detail.• Communication: Clear and concise expression, both verbal and written, with proper use of punctuation, correct spelling, and accurate transcription.• Customer Orientation: Ability to build and maintain long-term relationships with clients, generating trust and respect by meeting and exceeding expectations.• Interpersonal Skills: Ability to work effectively with other employees, patients, and external third parties.• Computer Skills: Proficiency in Microsoft Office and other applications as required.• Knowledge of Policies and Procedures: Understanding and application of organizational regulations, procedures, and systems.
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Auxis prioritizes employee growth and development to help you advance your career. Auxis’ culture empowers you to be your best in the interest of a common team goal. We are constantly striving to improve our culture and environment and have invested in tools to continue to have better visualization of the pulse of our organization.
Benefits
Job details are sourced from the employer's original posting.
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Auxis is a leading provider of IT outsourcing and managed services, specializing in helping companies optimize their IT operations and achieve business goals.