Responsible for validating disputes presented on Explanation of Benefits (EOB), entering denied claim into the DMT database, and escalating payment /variance trends to Management and generating ...
Responsible for validating disputes presented on Explanation of Benefits (EOB), entering denied claim into the DMT database, and escalating payment /variance trends to Management and generating ...
Appeals Analyst - Full Time
Columbus, GA · On-site
Verifies applicable contract by, as dictated by operational procedures: reviewing EOB messages ... Cross-trains and performs appeals analysis within Hospital claims, as needed * Maintains the strict ...
Appeals Analyst - Full Time
Columbus, GA · On-site
Verifies applicable contract by, as dictated by operational procedures: reviewing EOB messages ... Cross-trains and performs appeals analysis within Hospital claims, as needed * Maintains the strict ...
Verifies applicable contract by, as dictated by operational procedures: reviewing EOB messages ... Cross-trains and performs appeals analysis within Hospital claims, as needed * Maintains the strict ...
Verifies applicable contract by, as dictated by operational procedures: reviewing EOB messages ... Cross-trains and performs appeals analysis within Hospital claims, as needed * Maintains the strict ...
Apply advanced analytical skills to identify, assess, and report on adversary RF/EW capabilities, electronic order of battle (EOB), signal characteristics, and evolving tactics, techniques, and ...
Apply advanced analytical skills to identify, assess, and report on adversary RF/EW capabilities, electronic order of battle (EOB), signal characteristics, and evolving tactics, techniques, and ...
Verifies applicable contract by, as dictated by operational procedures: reviewing EOB messages ... Cross-trains and performs appeals analysis within Hospital claims, as needed * Maintains the strict ...
Verifies applicable contract by, as dictated by operational procedures: reviewing EOB messages ... Cross-trains and performs appeals analysis within Hospital claims, as needed * Maintains the strict ...
Supports the Command's Expense Operating Budget (EOB). Exercises responsibility for detailed financial analysis and processing of various Navy accounts. Implements and executes internal controls as ...
Supports the Command's Expense Operating Budget (EOB). Exercises responsibility for detailed financial analysis and processing of various Navy accounts. Implements and executes internal controls as ...
Support initiatives related to payments , including claims payments, adjustments, denials, remittances (EOB/EOP), provider payments, and reconciliation. * Elicit, analyze, document, and validate ...
Support initiatives related to payments , including claims payments, adjustments, denials, remittances (EOB/EOP), provider payments, and reconciliation. * Elicit, analyze, document, and validate ...
Proficiency in healthcare billing, medical coding (ICD-10, CPT, HCPCS), and EOB analysis. * Strong analytical, organizational, and decision-making skills. * Experience using audit/recovery software ...
Proficiency in healthcare billing, medical coding (ICD-10, CPT, HCPCS), and EOB analysis. * Strong analytical, organizational, and decision-making skills. * Experience using audit/recovery software ...
Payments Operations (Healthcare) Analyst, Explanation of Benefits, EOB, data verification, data accuracy, Data Entry, HIPAA, medical Billing, Payment Posting Must-have skills include being well ...
Payments Operations (Healthcare) Analyst, Explanation of Benefits, EOB, data verification, data accuracy, Data Entry, HIPAA, medical Billing, Payment Posting Must-have skills include being well ...
Payments Operations (Healthcare) Analyst
Manhattan, NY · On-site
$25 - $30/hr
Payments Operations (Healthcare) Analyst, Explanation of Benefits, EOB, data verification, data accuracy, Data Entry, HIPAA, medical Billing, Payment Posting Must-have skills include being well ...
Payments Operations (Healthcare) Analyst
Manhattan, NY · On-site
$25 - $30/hr
Payments Operations (Healthcare) Analyst, Explanation of Benefits, EOB, data verification, data accuracy, Data Entry, HIPAA, medical Billing, Payment Posting Must-have skills include being well ...
Payment Poster
Santa Ana, CA · On-site
$18 - $23/hr
If there are any non-covered/denied charges listed, the EOB is copied and given to the account analyst for that hospital. Before completing batch, make sure that patient responsibility agrees with ...
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Payment Poster
Santa Ana, CA · On-site
$18 - $23/hr
If there are any non-covered/denied charges listed, the EOB is copied and given to the account analyst for that hospital. Before completing batch, make sure that patient responsibility agrees with ...
Healthcare Billing Recovery Analyst
$49K - $65K/yr
Ability to analyze and understand written communication from insurance companies including ... Proven ability to gather and interpret explanation of benefits (EOB) and answer questions and ...
Healthcare Billing Recovery Analyst
$49K - $65K/yr
Ability to analyze and understand written communication from insurance companies including ... Proven ability to gather and interpret explanation of benefits (EOB) and answer questions and ...
Denials Analyst
Houma, LA · On-site
$15 - $25/hr
... EOB). - Exceptional analytical, problem-solving, and critical thinking skills. - Excellent leadership, communication (verbal and written), and interpersonal skills. -Proficient in Microsoft Excel ...
Denials Analyst
Houma, LA · On-site
$15 - $25/hr
... EOB). - Exceptional analytical, problem-solving, and critical thinking skills. - Excellent leadership, communication (verbal and written), and interpersonal skills. -Proficient in Microsoft Excel ...
Denials Analyst
Lisle, IL · On-site
$15 - $25/hr
... EOB). - Exceptional analytical, problem-solving, and critical thinking skills. - Excellent leadership, communication (verbal and written), and interpersonal skills. -Proficient in Microsoft Excel ...
Denials Analyst
Lisle, IL · On-site
$15 - $25/hr
... EOB). - Exceptional analytical, problem-solving, and critical thinking skills. - Excellent leadership, communication (verbal and written), and interpersonal skills. -Proficient in Microsoft Excel ...
OR · On-site
$48K - $63K/yr
Ability to analyze and understand written communication from insurance companies including ... Proven ability to gather and interpret explanation of benefits (EOB) and answer questions and ...
OR · On-site
$48K - $63K/yr
Ability to analyze and understand written communication from insurance companies including ... Proven ability to gather and interpret explanation of benefits (EOB) and answer questions and ...
Denials Analyst
Birmingham, AL · On-site
$15 - $25/hr
... EOB). - Exceptional analytical, problem-solving, and critical thinking skills. - Excellent leadership, communication (verbal and written), and interpersonal skills. -Proficient in Microsoft Excel ...
Denials Analyst
Birmingham, AL · On-site
$15 - $25/hr
... EOB). - Exceptional analytical, problem-solving, and critical thinking skills. - Excellent leadership, communication (verbal and written), and interpersonal skills. -Proficient in Microsoft Excel ...
Analyst, ROC Product
Irving, TX · On-site
... Benefits (EOB) statements and adjust accounts according to PDS claims processing criteria. • ... • Analyze and communicate key insights for existing projects and act as a thought leader and ...
Analyst, ROC Product
Irving, TX · On-site
... Benefits (EOB) statements and adjust accounts according to PDS claims processing criteria. • ... • Analyze and communicate key insights for existing projects and act as a thought leader and ...
Analyst, ROC Product
Irving, TX · On-site
$59K/yr
Analyze Explanation of Benefits (EOB) statements and adjust accounts according to PDS claims processing criteria. * Perform daily activities of auditing patient claims billed to ensure accurate and ...
Analyst, ROC Product
Irving, TX · On-site
$59K/yr
Analyze Explanation of Benefits (EOB) statements and adjust accounts according to PDS claims processing criteria. * Perform daily activities of auditing patient claims billed to ensure accurate and ...
Analyst, ROC Product
Irving, TX · On-site
$59K - $75K/yr
Analyze Explanation of Benefits (EOB) statements and adjust accounts according to PDS claims processing criteria. * Perform daily activities of auditing patient claims billed to ensure accurate and ...
Analyst, ROC Product
Irving, TX · On-site
$59K - $75K/yr
Analyze Explanation of Benefits (EOB) statements and adjust accounts according to PDS claims processing criteria. * Perform daily activities of auditing patient claims billed to ensure accurate and ...
OR · On-site
$26/hr
The Healthcare Reclamation Analyst reviews assigned client data and payer correspondence ... Proven ability to gather and interpret Explanation of Benefits (EOB) and answer questions and ...
OR · On-site
$26/hr
The Healthcare Reclamation Analyst reviews assigned client data and payer correspondence ... Proven ability to gather and interpret Explanation of Benefits (EOB) and answer questions and ...
Eob Analyst information
See salary details
$19.71 - $23.30
3% of jobs
$23.30 - $26.88
8% of jobs
$26.88 - $30.46
11% of jobs
$30.94 is the 25th percentile. Wages below this are outliers.
$30.46 - $34.05
16% of jobs
The median wage is $36.51 / hr.
$34.05 - $37.63
17% of jobs
$37.63 - $41.22
13% of jobs
$43.14 is the 75th percentile. Wages above this are outliers.
$41.22 - $44.80
14% of jobs
$44.80 - $48.38
7% of jobs
$48.38 - $51.97
4% of jobs
$51.97 - $55.55
5% of jobs
$55.55 - $59.13
2% of jobs
$19
$38
$59
How much do eob analyst jobs pay per hour?
How does an EOB Analyst typically interact with other departments within a healthcare organization?
What are EOB Analysts?
What are the key skills and qualifications needed to thrive as an EOB Analyst, and why are they important?
What is the difference between Eob Analyst vs Claims Processor?
| Aspect | Eob Analyst | Claims Processor |
|---|---|---|
| Credentials | Certification in healthcare billing or coding often preferred | High school diploma or equivalent, some certifications optional |
| Work Environment | Office-based, healthcare or insurance company settings | Office-based, insurance or healthcare provider settings |
| Job Focus | Reviewing Explanation of Benefits (EOBs), resolving discrepancies | Processing and reviewing insurance claims for accuracy |
| Common Tasks | Analyzing EOBs, communicating with providers and payers | Entering claim data, verifying coverage, initial claim review |
While both roles involve working with insurance claims, Eob Analysts primarily focus on analyzing Explanation of Benefits documents and resolving discrepancies, whereas Claims Processors handle the initial processing and verification of claims. Both roles require knowledge of healthcare billing and insurance procedures, but Eob Analysts often have more specialized skills in claims analysis and reconciliation.

Full-time
Medical, Dental, Vision
Posted 9 days ago
Job description
Conifer Health has been providing managed services to health systems, their health plans and managed populations for more than 30 years. Our value-based solutions enhance consumer engagement, drive clinical alignment, manage risk, and improve financial performance.
Our purpose of providing the foundation for better health fuels our clients to meet the unique needs of the communities they serve.
Summary:
Responsible for validating disputes presented on Explanation of Benefits (EOB), entering denied claim into the DMT database, and escalating payment /variance trends to Management and generating appeals for denied or underpaid claims.
Essential Functions:
- Validate denial reasons and ensures coding is accurate and reflects the denial reasons. Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary
- Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations.
- Follow specific payer guidelines for appeals submission
- Escalate exhausted appeal efforts for resolution
- Work payer projects as directed
- Research contract terms/interpretation and compile necessary supporting documentation for appeals, Terms & Conditions for Internet enabled Managed Care System (IMaCS) adjudication issues, and referral to refund unit on overpayments.
- Perform research and makes determination of corrective actions and takes appropriate steps to code the system and route account appropriately.
- Escalate denial or payment variance trends to NIC leadership team for payor escalation.
- HS/Diploma GED equivalent
- 2 years minimum in a Hospital or RCM environment performing billing / collections / disputes & claims research
- Payer Knowledge - MUST be strong in payer knowledge & being able to identify trends
- AR follow up Experience
- Intermediate understanding of Explanation of Benefits form (EOB).
- Understanding of UB-04 / 1500 forms
- Medical terminology
- Intermediate Microsoft Office (Word, Excel) skills
- Advanced business letter writing skills (Correct use of punctuation / grammar)
- Must be able to multi-task and adapt to change
Advantages of this Opportunity:
- Competitive salary, negotiable based on relevant experience
- Benefits offered, Medical, Dental, and Vision
- Fun and positive work environment
- Monday-Friday must be available from 8:00AM to 5:00PM hour shift.
About Healthcare Support
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HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003