Payor Analyst

Job overview

The Payor Analyst role is fully remote for residents of Pennsylvania, Maryland, New Jersey, Delaware, Texas, Tennessee, West Virginia, Indiana, Georgia, Florida, or Ohio. Compensation is not specified. U. S. Digestive Health provides digestive healthcare services. The analyst works on complex appeals and payor projects and partners with the billing vendor to support accurate claims processing. By investigating denials, documenting account interactions, and improving vendor workflows, the role helps resolve claim issues and prevent recurring errors.

What you'll do

• Monitor rejected and denied claims, identify root causes, and work to resolve and prevent errors
• maintain timely documentation of patient account interactions
• field questions from coworkers and staff
• develop and maintain workflows and training for billing vendors
• review insurance benefits and relevant documentation
• analyze claim data and determine next steps in the claim filing process.

What we're looking for

Skills & competencies

payor analyst

medical billing

claims appeals

revenue cycle management

fully remote

u. s. digestive health

full-time

monday–friday

pennsylvania

maryland

new jersey

delaware

texas

tennessee

Work arrangement

• Weekend coverage required

Why this role

The posting requires a high school diploma or GED and 2+ years of medical billing and/or accounts receivable follow-up experience. Coding certification through AAPC is preferred.

About the employer

U. S. Digestive Health is hiring for this role. Industry: All Other Outpatient Care Centers. Sector: 62.