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Valley Children's Healthcare

Madera, California

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Valley Children's Healthcare

Madera, California

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AdventHealth

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Payment Resolution Analyst
The Payment Resolution Analyst is responsible for processing all out of network insurance claims to ensure appropriate payments are received. This position negotiates payments with payers, provides good faith estimates to potential patients and processes and follows up on independent dispute resolution appeals. In addition, The Payment Resolution Analyst conducts network reimbursement analysis and communicates insufficient payments to internal and external departments. RESPONSIBILITIES: Reconciles billing and payment data on an automated system to maintain and update receivable status on out of network payments posted on the patients' account. Communicates with third party payers by means of correspondence or by telep


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