02 Dec

Provider Services Analyst Jobs Vacancy in Hms Holdings Los Angeles

Position
Provider Services Analyst
Company
Hms Holdings
Location
Los Angeles CA
Opening
02 Dec, 2018 30+ days ago

Hms Holdings Los Angeles urgently required following position for Provider Services Analyst. Please read this job advertisement carefully before apply. There are some qualifications, experience and skills requirement that the employers require. Does your career history fit these requirements? Ensure you understand the role you are applying for and that it is suited to your skills and qualifications.

Follow the online directions, complete all the necessary fields, and provide all relevant information so your application is submitted correctly. When you click the 'Apply this Job' button (open in new window) you will be taken to the online application form. Here you will be asked to provide personal and contact details, respond to employment-related questions, and show how you meet the key selection criteria.

Provider Services Analyst Jobs Vacancy in Hms Holdings Los Angeles Jobs Details:

HMS makes the healthcare system work better for everyone. We fight fraud, waste, and abuse so people have access to healthcare—now and in the future. Using innovative technology and powerful data analytics, we help government and commercial payers reduce costs, increase quality, and achieve regulatory compliance. We also help consumers take a more active role in their own health. Each year, we save our clients billions of dollars while helping people live healthier lives. At HMS, you will develop new skills and build your career in a dynamic industry while making a difference in the lives of others.

We are seeking a talented individual for a Provider Services Analyst - Commercial who conducts on-site account analysis for identifying and recovering client overpayments made to healthcare providers. Responsible for developing and managing Provider relationships, working independently to identify and secure Provider refunds. Explains audit policies and procedures to the Provider; conducts exit conferences to review findings, and reschedules subsequent audits. Responsible for delivering successful field performance within assigned territory.

  • Conducts on-site account analysis on behalf of HMS clients; analyzes the following situations to identify instances of overpayments and clarifies discrepancies:
  • Payment received by more than one payor
  • Retroactive payments
  • Double billing/payments
  • Inaccurate postings
  • Change written off in excess of amounts actually billed
  • Debit contractual adjustments
  • Reclassification of accounts
  • Charges removed
  • Provider A/R collection systems modeling net revenue at the time of billing
  • Incorrect coordination of benefits
  • Identification of refund trends that can be applied across contract base to maximize revenue
  • Collaborate with upper management and Client Services on payer trending
  • and act as a liaison between the Provider and HMS.
  • Delivers summary reports to Providers on results of project work and their corresponding revenue implications.
  • Interpret and apply contract language through claim adjudication process.
  • Consults with Providers troubleshooting Client issues
  • Ensures all processes meet HIPAA and Government security requirements with regards to sharing/storage of PHI (Personal Health Information).
  • Establishes effective working relationship with both Provider and internal staff.
  • May assist with training and mentoring new and current auditors.
  • Meets or exceeds established production and revenue goals set forth by management.

Non-Essential Responsibilities:

  • Performs other functions as assigned

Knowledge, Skills and Abilities:

  • Ability to view a monitor for an extended period of time.
  • Ability to work with individuals and groups and understand their needs and capture requirements
  • Knowledge of and ability to use Excel and Word
  • Knowledge of scripting tools.

Work Conditions and Physical Demands:

  • Primarily sedentary work in a general office environment
  • Ability to communicate and exchange information
  • Ability to comprehend and interpret documents and data
  • Requires occasional standing, walking, lifting, and moving objects (up to 10 lbs.)
  • Requires manual dexterity to use computer, telephone and peripherals
  • May be required to work extended hours for special business needs
  • May be required to travel at least 10% of time based on business needs

Minimum Education:

  • Undergraduate degree or equivalent work experience

Minimum Related Work Experience:

  • 1+ years related work experience

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Job Type: Full-time

Location:

  • Los Angeles, CA (Required)


Jobs Vacancy Related to Provider Services Analyst:

09Feb

Directory Services Analyst Jobs Vacancy in Baker Hughes Houston. Baker Hughes Houston opening great career opportunity and jobs vacancy for Directory Services Analyst position. This jobs vacancy will be open for new jobs applicant starting for 09 Feb, 2019. In the role of Directory Services Analyst, you will:. The Directory Services Analyst will be responsible for maintenance and minor enhancements of BHGE's... ... Continue reading -->


31Jan

Provider Services Analyst Medicaid Jobs Vacancy in Hms . Hms opening great career opportunity and jobs vacancy for Provider Services Analyst Medicaid position. This jobs vacancy will be open for new jobs applicant starting for 31 Jan, 2019. We are seeking a talented individual for a Provider Services Analyst – Medicaid who provides on-site and remote account analysis for identifying and recovering... ... Continue reading -->


  • Company: Hms
  • Added: 18 days ago

29Jan

Client Services Analyst Jobs Vacancy in Risk Solutions Alpharetta. Risk Solutions Alpharetta opening great career opportunity and jobs vacancy for Client Services Analyst position. This jobs vacancy will be open for new jobs applicant starting for 29 Jan, 2019. Excellent customer service skills. With over 40 years of expertise, we are the trusted data analytics provider for organizations seeking actionable insights to... ... Continue reading -->


12Dec

Client Portfolio Services Analyst Jobs Vacancy in Barings Charlotte. Barings Charlotte opening great career opportunity and jobs vacancy for Client Portfolio Services Analyst position. This jobs vacancy will be open for new jobs applicant starting for 12 Dec, 2018. Overseeing the Service Provider in reconciling portfolio level activity. Raising service issues in an appropriate manner and following up issues to resolution.... ... Continue reading -->


07Jan

Surgical Services Materials Analyst Jobs Vacancy in Beacon Health System Elkhart. Beacon Health System Elkhart opening great career opportunity and jobs vacancy for Surgical Services Materials Analyst position. This jobs vacancy will be open for new jobs applicant starting for 07 Jan, 2019. Reports to Surgical Services Business Manager. To enhance the physical, mental and emotional well-being of the communities we serve as the community’s provider... ... Continue reading -->