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Eob Analyst Jobs (NOW HIRING)

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 ...

Support initiatives related to payments , including claims payments, adjustments, denials, remittances (EOB/EOP), provider payments, and reconciliation. * Elicit, analyze, document, and validate ...

... 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 ...

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 ...

Patient Payment Specialist

Birmingham, AL · On-site

$17.25 - $22/hr

Review an EOB with the patient. * Strong analytical and problem-solving skills * Ability to quickly learn multiple software platforms (CPR +, PK Compounder) * Excellent verbal and written ...

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 ...

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 ...

We are looking for a Claims Business Analyst who will be the vital link between our information ... Review, Adjudication, Pricing, Payments/Billing, EOB, PDE, FIR, Reprocessing, or other features ...

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Eob Analyst information

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$19

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How much do eob analyst jobs pay per hour?

As of Jul 1, 2026, the average hourly pay for eob analyst in the United States is $38.97, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $44.23 per hour, depending on experience, location, and employer.

What is the work of EOB?

An EOB (Explanation of Benefits) analyst reviews and processes insurance EOBs to ensure accurate claim payments and resolve discrepancies. They analyze healthcare claims, verify coverage details, and may use billing software to support claims processing and reimbursement accuracy.

How does an EOB Analyst typically interact with other departments within a healthcare organization?

As an EOB Analyst, you will regularly collaborate with billing, accounts receivable, and patient services teams to resolve discrepancies in Explanation of Benefits documents from insurers. This role often requires strong communication skills to clarify payment details, follow up on denied claims, and ensure accurate posting of payments. Cross-functional teamwork is essential to maintain efficient revenue cycle operations and to address any issues that could delay reimbursement.

What are EOB Analysts?

EOB Analysts, or Explanation of Benefits Analysts, are professionals who review and interpret explanation of benefits documents from insurance companies to ensure accurate processing of healthcare claims. They verify that payments, denials, or adjustments comply with payer contracts and regulatory requirements. EOB Analysts often work closely with billing teams to resolve discrepancies and facilitate correct reimbursement for healthcare providers. Their work helps ensure financial accuracy and compliance within medical billing operations.

What are the key skills and qualifications needed to thrive as an EOB Analyst, and why are they important?

To thrive as an EOB (Explanation of Benefits) Analyst, you need a strong understanding of medical billing, insurance claims processing, and familiarity with healthcare regulations, usually supported by experience in healthcare administration or a related field. Proficiency with medical billing software, claims management systems, and Excel is typically required. Attention to detail, analytical thinking, and effective communication are standout soft skills for resolving discrepancies and liaising with stakeholders. These competencies ensure accurate claims processing, timely reimbursements, and financial compliance within healthcare organizations.

What jobs pay 4000 a week without a degree?

Eob Analysts typically do not earn $4,000 a week without specialized experience or certifications. High-paying roles that can reach this level without a degree often include sales, real estate, or certain skilled trades like commercial driving or technical trades, which rely more on skills and licensing than formal education. These jobs may require on-the-job training, certifications, or licenses but not necessarily a college degree.

What is the difference between Eob Analyst vs Claims Processor?

AspectEob AnalystClaims Processor
CredentialsCertification in healthcare billing or coding often preferredHigh school diploma or equivalent, some certifications optional
Work EnvironmentOffice-based, healthcare or insurance company settingsOffice-based, insurance or healthcare provider settings
Job FocusReviewing Explanation of Benefits (EOBs), resolving discrepanciesProcessing and reviewing insurance claims for accuracy
Common TasksAnalyzing EOBs, communicating with providers and payersEntering 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.

What is the most chill healthcare job?

An EOB (Explanation of Benefits) analyst typically has a relatively low-stress role within healthcare, focusing on reviewing and processing insurance claims and benefits. The job often involves standard office hours, minimal physical demands, and requires attention to detail, making it a considered a less stressful healthcare position. However, individual experiences may vary based on workload and workplace environment.

What's a good job for overthinkers?

An EOB Analyst role involves reviewing and processing insurance claims, which requires attention to detail and analytical thinking. Overthinkers may excel in this position due to the need for careful review, data accuracy, and problem-solving skills, often utilizing tools like claim management software. The job typically involves a structured environment with clear procedures, making it suitable for those who prefer thoroughness and precision.
More about Eob Analyst jobs
Appeals Analyst - Full Time

Appeals Analyst - Full Time

Hughston Clinic

Columbus, GA

Full-time

Posted 4 days ago


Job description

**THIS IS AN ONSITE POSITION**

Position Goal:

Utilize coding certification knowledge and experience to monitor contractual allowances; analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance. Perform claim audits to ensure billing compliance with coding rules and guidelines as well as payer-specific policies. Analyzes revenue cycle processes in order to develop tools and guidelines for educational opportunities. Conducts research initiatives to support overall billing compliance.
Position Responsibilities:

  • Implements process for identifying under-allowed claims using Experian Contract Manager and other available tools
  • Reviews and analyzes EOBs for identified under-allowed claims
  • Verifies applicable contract by, as dictated by operational procedures: reviewing EOB messages, reviewing patient ID card, verifying member information for managed care plans
  • Uses feedback and experience to refine communication skills and tools for use in preparing written and telephone appeals
  • Batches appeals, when applicable, by payer or network, by CPT/HCPCS code combination, by error type, or by provider
  • Compiles and submits appeals and monitors for proper reimbursement
  • Uses Experian Contract Manager to track appeals and recoveries
  • Establishes and cultivates helpful and effective contacts in payer or network offices
  • Establishes follow-up protocol with payers and networks
  • Monitors and tracks contractual, billing, registration, and posting errors, and provides continuous feedback to the Director of Revenue Optimization Management
  • Participates in meetings to discuss ongoing trends and issues regarding the administration of managed care contracts
  • Cross-trains and performs appeals analysis within Hospital claims, as needed
  • Maintains the strict confidentiality required for medical records and other data
  • Participates in professional development efforts to ensure currency in managed care reimbursement trends

Experience:

Required:

  • Five years with insurance claims/related experience, CPT and ICD-10 terminology experience or
  • Three years of above described experience with a Associates degree or higher in related field

Education:

Required:

  • High school diploma or equivalent

Preferred:

  • Associates degree or higher

Special Qualifications

Required:

  • Up-to-date coding certification; either CPC or coding credentials via AHIMA.
  • Knowledge and PC skills, with proficiency in utilizing Microsoft office products (Word, Excel, Outlook, PowerPoint, etc.)
  • Knowledge of medical terminology.
  • Demonstrated skill in written and oral communication with colleagues, supervisors, and payer/network personnel.
  • Demonstrated skill working in a team-oriented structure to achieve goals.
  • Must be able to work independently

Special Qualifications

Preferred:

  • Experience conducting revenue cycle / billing related audits
  • Knowledge of networks, IPAs, MSOs, HMOs, PCP and contract affiliations.
  • Knowledge of the health care professional services billing (physicians and related health care professionals) and reimbursement environment.
  • Knowledge of major types of practice management system (PMS) and EOB imaging systems.
  • Knowledge of managed care contracts and compliance.
  • Demonstrated skill in gathering and reporting claims information.

All applicants must apply at www.hughston.com to be considered

The Hughston Clinic, The Hughston Foundation, The Hughston Surgical Center, Hughston Clinic Orthopaedics, Hughston Medical, Hughston Orthopaedics Trauma, Hughston Orthopaedics Southeast and Jack Hughston Memorial Hospital participate in E-Verify. This company is an equal opportunity employer that recruits and hires qualified candidates without regard to race, religion, color, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.