Financial Recovery Data Analyst Job at MedPOINT Management in Los Angeles

Under the guidance of the Auditing & Recoveries Manager & Supervisor, the Financial Recovery Data Analyst is responsible for overlooking the OB Maternity Kick agreements for MPM’s Hospital & IPA clients. This includes submitting, tracking & reconciling deliveries.

Duties and Responsibilities

· Prepare monthly reporting for OB Kick

o Run authorization & claim reports to identify potential delivery cases

o Research & confirm livebirth deliveries

· Submit and track deliveries

o Follow specific submission instructions for each plan

o Update tracking sheets and apply corresponding rates

· Monitor payments being received

o Post payments and calculate outstanding amounts

o Send tracking updates to the IPA/Hospital Analysts

o Review payments and adjustments for accuracy

· Reconcile outstanding deliveries and incorrect adjustments

o Research & compile supporting documentation

o Submit appeals to the health plans

o Track correspondence & follow up as needed

o Annotate tracking and remove expected amounts for ineligible deliveries

· Coordinate with AR, Claims, Contracting, DOFR, Eligibility & Hospital Ops teams

· Respond to internal & external requests as needed

· Cross training on other responsibilities of the Sr. Financial Recovery Data Analyst

Minimum Job Requirements

· High School Diploma or G.E.D. is required

· Associate’s or Bachelor’s degree in Business, Healthcare Management, or Technology is preferred

· 1 year + of related work experience in healthcare or data driven environment

· 1 year + experience working with large data files

· Proficiency in Microsoft Office (Excel, Outlook, Word, etc)

Skill and Abilities

· Excellent written & verbal communication skills

· Strong analytical & critical thinking

· Ability to multi-task while maintaining a high standard of work

· Technological literacy