Insurance Payment Resolution Analyst – REMOTE Position Available In Williamson, Tennessee

Tallo's Job Summary: The Insurance Payment Resolution Analyst is responsible for processing, reconciling, and balancing cash transactions to ensure accurate posting of payments and adjustments. This role involves analyzing payer reimbursements, resolving discrepancies, and maintaining compliance with company policies and regulatory requirements. The Analyst reviews health insurance payments, manages fund transfers, ensures accuracy in patient account transactions, and supports process improvements in financial operations. Contacting payors, posting payments, analyzing reimbursements, and maintaining compliance are key responsibilities. Qualifications include a high school diploma or GED, an associate degree in Accounting, Finance, or Business Administration is preferred, along with 2-4 years of experience in cash posting or accounts receivable. Experience in healthcare revenue cycle or financial operations is desired. Proficiency in Microsoft Excel and strong communication skills are necessary for success in this role.

Company:
Shared Services Center
Salary:
JobFull-timeRemote

Job Description

Insurance Payment Resolution Analyst – REMOTE Shared Services Center –

Nashville Franklin, TN Job Details Full-time Estimated:

$44.7K – $59.8K a year 2 days ago Qualifications Accounts receivable Microsoft Excel HIPAA Mid-level Finance High school diploma or GED Organizational skills Business Administration Associate’s degree 2 years Accounting Communication skills Full Job Description Job Summary The Insurance Payment Resolution Analyst is responsible for processing, reconciling, and balancing cash transactions to ensure accurate posting of payments and adjustments. This role involves analyzing payer reimbursements, resolving discrepancies, and maintaining compliance with company policies and regulatory requirements. The Insurance Payment Resolution Analyst also reviews health insurance payments, manages fund transfers, and ensures accuracy in patient account transactions while supporting process improvements in financial operations. Essential Functions Contact various payors for remittance advice or specific patient account information. Receives, reviews, and preps batches for daily posting, ensuring transactions are accurate and correctly applied. Posts insurance and non-insurance payments, including resolving edits, manually matching invoices, and balancing payment files against checks or electronic funds transfers (EFTs). Analyzes payer reimbursements, comparing payments received against contract fee schedules to confirm appropriate adjustments and determine patient responsibility when applicable. Processes and posts debit entries for approved refunds, ensuring compliance with company policies and financial guidelines. Researches and transfers unidentified payments, applying established procedures to allocate funds correctly. Ensures account balances are accurate, reviewing posted transactions and preparing batches for scanning into document imaging systems. Maintains compliance with hospital policies, procedures, and regulatory requirements, ensuring adherence to HIPAA guidelines and financial controls. Performs other duties as assigned. Complies with all policies and standards. Qualifications H.S. Diploma or GED required Associate Degree in Accounting, Finance, Business Administration, or a related field preferred 2-4 years of experience in cash posting, accounts receivable, or payment processing required Experience with healthcare revenue cycle, insurance reimbursement, or financial operations preferred Knowledge, Skills and Abilities Strong understanding of cash reconciliation, payment posting, and financial transaction balancing. Experience with insurance remittance, contractual adjustments, and refund processing. Proficiency in Microsoft Excel, financial reconciliation tools, and cash management software. Ability to analyze and resolve discrepancies in financial transactions. Excellent attention to detail, organizational skills, and ability to work under deadlines. Strong verbal and written communication skills, with the ability to interact with finance teams, payers, and internal departments. Knowledge of HIPAA and financial security regulations related to payment transactions and patient accounts.

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