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Payer Analyst

Finance & Accounting | Plymouth, MN | Full Time

Job Description

Description:

Doctor On Demand is looking for an Payer Analyst to join its finance and accounting team.  This is an exciting opportunity to join a small, collaborative team and have a direct impact on Doctor On Demand’s fast growing business.

Reporting to the Revenue Cycle Manager, the Payer Analyst will be a key member of a team and responsible for ensuring the success and accuracy of our technology driven member’s eligibility workflow. This role is crucial to understand and resolve eligibility challenges, while guiding the company towards a scalable solution that delights our patients and enables the growth of our business.

 

Responsibilities:

  • Monitor the health of real time eligibility integrations with our payers and drive resolution of issues

  • Perform in depth research to look for trends in our invoice balances to inform the changes to our registration

  • Be a third layer of escalation for real time eligibility and eligibility files

  • Work with product, engineering, finance, and operations to close gaps in our eligibility workflows.

  • Represent Doctor on Demand during discussions with the payer’s EDI team for set up and maintenance

  • Monitor and implement best practices for eligibility

  • Assist implementation in assessing and onboarding new customers’ eligibility requirements

  • Work closely with external vendors and systems that influence the success of our payer integrations

 

Requirements:

  • 2+ years of relevant real time eligibility experience

  • Ability to consistently comb through large amounts of data and draw insights from it

  • High standards of accuracy and precision

  • Understand data correlation patterns, software design and use within the context of insurance eligibility

  • Understanding of insurance plan benefit design

  • Excellent analytical and quantitative abilities

  • Excellent verbal and written communication skills

  • Capable of presenting complex technical information in an easy to understand format

  • Can work with employees at all levels of the organization in a highly collaborative environment

  • Preferred: Strong technical acumen (understanding of JSON, XML, X12/EDI, SQL, system configuration management, and database structures). Experience with business intelligence tools can be a substitute for this

 

Perks:

  • Be a core member of a small finance and accounting team

  • Be part of a startup that is gaining national recognition and actually making a difference

  • Full benefits + competitive compensation package

  • Unlimited PTO, wellness allowance and others

  • Covered Doctor On Demand visits for Medical and Mental Health for you and your family

 

About Doctor On Demand

Doctor On Demand’s mission is to improve the world’s health through compassionate care and innovation.  We believe that health is personal, and means so much more than treating illness.  We're proud of the care we've provided over the years and the relationships we’ve developed with our patients, as evidenced by the 5-star reviews we continually receive. People use our service to gain access to some of the best physicians and licensed therapists in the country, all whenever and wherever is most convenient.  It’s as simple as opening the Doctor On Demand app on a smartphone or computer.

Through live video visits, our hand-picked, US-trained doctors take patient history, perform an exam, and recommend a treatment plan. Prescriptions, if needed, go directly to the pharmacy of choice. While insurance isn’t required, tens of millions of Americans enjoy covered medical and mental health visits through employer and health plan partnerships. To learn more about the hundreds of medical issues we treat, visit us at DoctorOnDemand.com.