OTC Billing Analyst

Purpose:

• Responsible for collecting overdue payments and establishing re-payment arrangements.

• Negotiates liability settlement of medical claims with third parties or healthcare providers; seeks reimbursement from healthcare providers and/or ensures payment of claims by appropriate insurance carrier.


Scope:
General:
• Builds knowledge of the organization, processes and customers

• Requires knowledge and experience in own discipline; still acquiring higher level knowledge and skills

• Receives a moderate level of guidance and direction

• Moderate decision making authority guided by policies, procedures, and business operations protocol


Primary Responsibilities:
• May perform one or more of the following duties:

• Settles the health plan’s subrogation (i.e. third party liability claim) and reimbursement interest; negotiates with the service provider, insurance attorney, insu...