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 ...
Claims Analyst
Phoenix, AZ · On-site
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 ...
Claims Analyst
Phoenix, AZ · On-site
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 ...
Chief Financial Officer
Fairfield, IA · On-site
Represent EOB's financial health and strategy to the Board of Directors, ESOP trustee, lenders, and other key stakeholders. Financial Planning & Analysis * Oversee the enterprise-wide annual ...
New
Chief Financial Officer
Fairfield, IA · On-site
Represent EOB's financial health and strategy to the Board of Directors, ESOP trustee, lenders, and other key stakeholders. Financial Planning & Analysis * Oversee the enterprise-wide annual ...
New
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 ...
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 ...
Lead Business Analyst
Manhattan, NY · On-site
Support initiatives related to payments , including claims payments, adjustments, denials, remittances (EOB/EOP), provider payments, and reconciliation. * Elicit, analyze, document, and validate ...
Lead Business Analyst
Manhattan, NY · On-site
Support initiatives related to payments , including claims payments, adjustments, denials, remittances (EOB/EOP), provider payments, and reconciliation. * Elicit, analyze, document, and validate ...
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 ...
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 ...
Quick apply
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 ...
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/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 ...
Analyst, Claims
Phoenix, AZ · Remote
Thorough Knowledge of EOB denial/pend codes, HIPPS, HCPCS and DX codes in order to process claims ... Analytical, research, problem solving, and decision-making skills * Ability to adjudicate 185 ...
Analyst, Claims
Phoenix, AZ · Remote
Thorough Knowledge of EOB denial/pend codes, HIPPS, HCPCS and DX codes in order to process claims ... Analytical, research, problem solving, and decision-making skills * Ability to adjudicate 185 ...
PREFERRED: 1. Prior experience interpreting UBO4 billing documents, EOB remittances against managed care contracts, and adjustment processing. 2. General knowledge of HMO/PPO contracts and credit ...
PREFERRED: 1. Prior experience interpreting UBO4 billing documents, EOB remittances against managed care contracts, and adjustment processing. 2. General knowledge of HMO/PPO contracts and credit ...
PREFERRED: 1. Prior experience interpreting UBO4 billing documents, EOB remittances against managed care contracts, and adjustment processing. 2. General knowledge of HMO/PPO contracts and credit ...
PREFERRED: 1. Prior experience interpreting UBO4 billing documents, EOB remittances against managed care contracts, and adjustment processing. 2. General knowledge of HMO/PPO contracts and credit ...
PREFERRED: 1. Prior experience interpreting UBO4 billing documents, EOB remittances against managed care contracts, and adjustment processing. 2. General knowledge of HMO/PPO contracts and credit ...
PREFERRED: 1. Prior experience interpreting UBO4 billing documents, EOB remittances against managed care contracts, and adjustment processing. 2. General knowledge of HMO/PPO contracts and credit ...
PREFERRED: 1. Prior experience interpreting UBO4 billing documents, EOB remittances against managed care contracts, and adjustment processing. 2. General knowledge of HMO/PPO contracts and credit ...
PREFERRED: 1. Prior experience interpreting UBO4 billing documents, EOB remittances against managed care contracts, and adjustment processing. 2. General knowledge of HMO/PPO contracts and credit ...
Claims Business Analyst
Charleston, WV · On-site
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 ...
Quick apply
Claims Business Analyst
Charleston, WV · On-site
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 ...
PREFERRED: 1. Prior experience interpreting UBO4 billing documents, EOB remittances against managed care contracts, and adjustment processing. 2. General knowledge of HMO/PPO contracts and credit ...
PREFERRED: 1. Prior experience interpreting UBO4 billing documents, EOB remittances against managed care contracts, and adjustment processing. 2. General knowledge of HMO/PPO contracts and credit ...
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?
What is the work of EOB?
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 jobs pay 4000 a week without a degree?
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.
What is the most chill healthcare job?
What's a good job for overthinkers?
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.
About Hughston Clinic
Sourced by ZipRecruiter
Industry
Offices of physicians
Company size
51 - 200 Employees
Headquarters location
Columbus, GA, US
Year founded
1949