Lake Charles Memorial Hospital Lake Charles, LA, USA
DESCRIPTION OF POSITION: The claims escalation analyst monitors liability claims from start to finish, verifying and updating information on submitted claims, reviewing the policy to determine which charges are eligible for reimbursement, reconciling a claims adjuster's estimates, negotiating payment to all parties and following up to ensure that payments are made. RESPONSIBILITIES AND DUTIES: Understands assigned payers allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments. Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, ded & coins assignments. Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Works with other departments to resolve any outstanding issues delaying claims processing. Communicates effectively with assigned payer and makes appropriate decisions...