Our mission at Progenity is simple: to help healthcare providers and patients prepare for life. We provide the most advanced molecular technology and the highest levels of service to guide patient care at critical life stages. We continually seek people with the motivation and skills to advance our mission.
The Payment Solutions Analyst proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Works with cash applications team to identify, research and obtain missing EOB’s or remittances. Manages payer portals, initiates and completes payer enrollment of EFT/ERA’s. Identifies and analyzes problems and take appropriate actions to ensure problems are resolved. Utilizes and applies the appropriate State and Federal regulations to assure compliance in payment practices. Initiates system transactions and corrects reprocessing errors based on predefined sets of rules. Performs research on how to correct errors using internal and external data sources, as well as communicating with other internal contacts.
RESPONSIBILITIES
- Tracks EFT/ERA payer enrollments.
- Contacts payers for enrollment issues and set-up.
- Maintains payer portals access and logins.
- Responds to requests in a timely manner.
- Researches missing checks and EOB’s.
- Researches and resolves unapplied/unidentified payments.
- Assists team with payer portal and missing remittance issues.
- Communicates and works with the team to ensure goals are being met.
- Assists with cash posting when needed.
- Routes missing files and system issues to Quadax or appropriate person for assistance.
- Reviews reports, identifies trends, researches, resolves issues and may perform a detailed reconciliation of accounts.
- Communicates issues or concerns to Supervisor/Manager.
- Maintains a daily productivity log showing number of accounts worked and submit as requested.
- Other special projects or assignments assigned by Supervisor/ Manager.
REQUIREMENTS
- High school diploma or equivalent required.
- Bachelor’s degree in Healthcare Administration or similar preferred.
- 3-4 years of experience in cash applications.
- EOB review: 3 years (Preferred). EOB’s and reimbursements a major plus.
- Strong knowledge of managed care contracts.
- Good written and oral communication.
- Must be detail-oriented with good problem-solving skills.
- Ability to work in a fast-paced environment.
- Attention to detail is critical.
- Ability to meet deadlines – daily, monthly, etc.