Payment Analyst Job Description
Payment Analyst Duties & Responsibilities
To write an effective payment analyst job description, begin by listing detailed duties, responsibilities and expectations. We have included payment analyst job description templates that you can modify and use.
Sample responsibilities for this position include:
Payment Analyst Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Payment Analyst
List any licenses or certifications required by the position: FLEXCUBE, CISSP, GIAC, CEH, CHFI, CEC, 9000, ISO, LSS, AML
Education for Payment Analyst
Typically a job would require a certain level of education.
Employers hiring for the payment analyst job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and High School Degree in Finance, Accounting, Business, Education, Business/Administration, Economics, Healthcare, Computer Science, Medical, Statistics
Skills for Payment Analyst
Desired skills for payment analyst include:
Desired experience for payment analyst includes:
Payment Analyst Examples
Payment Analyst Job Description
- Work with the technical team to create the Design Documentation
- Perform testing and create Test Results Documentation
- Support the Manager and the team in achieving the cost reduction goals
- Collect comprehensive claim data and the related data that impacts the payment process integrity
- Trend analysis on medical services, provider billing status, and member utilization
- Coordinate and analyze data/information received and collected from various internal and external sources
- Perform payment data review throughout the claim process
- Identify potential control deficiency and analyzing the potential payment impact
- Provide strong assistance to the manager and peers in creating tools
- Maintain effective and efficient work relationships with all related areas to maximize integrity and minimizing payment irregularity
- 2 -4 years reporting and analytical experience
- 1 to 3 years of demonstrated proficiency writing queries using SQL language
- Advanced skills in Excel, PowerPoint, and Access
- Knowledge of ICOMS Billing System
- Experience with customer behavioral modeling and scoring, especially in payment services or collections
- Experience with BI reporting tools such as MicroStrategy or Tableau
Payment Analyst Job Description
- Analyze findings to identify trends, resolution and implementation for recovery and avoidance of future overpayments
- Supporting of existing business processes are implemented in IRT and GI/GAPTS systems
- To follow the defined issue handling process
- Representing customers in change requests (IR, APAR) are raised by them
- To support the operation of IRT and GI/GAPTS system based on system strategy, defined by application owner
- Supporting the IRT and GI/GAPTS or general Client Service projects as member of the projects or as an action holder
- Following quality rules and standards are defined by the company, doing the daily work according to these
- Following and reviewing Client Services, IRT and GI/GAPTS related support instructions and procedures, propose changes if it is required
- Coordinate test activities for CoE users in case of IRT and GI/GAPTS releases based on project leaders instructions
- Education of customers for using of IRT and GI/GAPTS systems, managing the newcomer education for all new end-users for IRT and GI/GAPTS
- 5+ years of related experience in healthcare and managed care
- 2 plus years prior internal or external audit experience
- 3 to 5 years’ experience in analyzing data, drawing conclusions, applying an analytical/quantitative approach to problem solving and resolving issues
- 3-5 years’ experience in claim processing (including pricing and code editing), NASCO system and various benefit and ancillary systems
- Broad understanding about the healthcare industry
- Experience with SAS analytics tools
Payment Analyst Job Description
- To develop own skills and knowledge with fitting to business strategy
- Supporting the communication between users and service provider, direct communication with users in case of any system changes, outages are affecting them
- Take care of IRT and GI/GAPTS knowledge base for IRT and GI/GAPTS, means updating of FAQ database, internal service document libraries, measure customer or 1st level service team’s knowledge, propose training, consultations or any changes if it is necessary
- Parse and analyze raw intelligence from external and internally-developed cyber threat information sources
- Provide thorough, detailed and informed briefings to Payment System Risk on cyber intelligence analysis
- Conducting policy research and producing synthesized internal memos, talking points, and other documents
- Tackling complex policy questions in a structured and hypothesis-driven manner, identifying options and laying out recommendations for the Manager of Payment Innovation and other senior leadership
- Leading meetings, producing meeting materials, and conducting meeting follow-up throughout the decision-making process
- Partners with organizational unit/department managers to discuss and establish timelines and methodologies for developing and delivering measurements that provide relevant, timely and accurate quantification of business performance
- Effectively communicates with all levels of personnel
- Strong analytical skills including root cause analysis, identifying trends, researching and analyzing data, drawing conclusions, resolving issues, interpreting and understanding policies/procedures/laws/regulations
- Demonstrated ability to manage multiple high level projects simultaneously
- Past experience in business process improvement and system implementations in a fast-paced, high pressure environment
- At least 5 years (relevant) IT experience in delivering high quality software including exposure within a large complex banking organization or major consulting organization focused on a BA-PM type role
- Strong understanding of Business Analysis and Project Management concepts, SDLC methodologies and Operating models (Agile & Waterfall)
- Able to drive business requirements from definition through to delivery
Payment Analyst Job Description
- Performs ongoing monitoring of capabilities, development pipelines, products, pricing, acquisitions, divestitures and industry activities of targeted companies
- Provides periodic competitive briefings, relevant news and alerts to corporate and business unit executives
- Participates in due diligence as needed for merger/acquisition targets
- Integrates division performance and competitive intelligence into strategic planning and EPM cycles
- Provides support to management and other staff members regarding financial reporting and other issues
- Assists with budget preparation, budget review for compliance and financial planning processes
- Under the direction of Contract Management (CM), this position functions as the primary resource overseeing the estimator tool as it pertains to the contract load process
- Serves as the liaison between CCHS and vendor on the collection and distribution of all contract related items
- Develops and performs validation of all contract builds within the tool
- Creates reports for payment analysis and reconciles variances amongst multiple applications
- Expertise in using Microsoft Office Project for creating & maintain project plans & MS Office Tool Suite (including
- Exposure to USD and foreign currency wire processing and SWIFT messaging
- Airline reservation system background essential including understanding and knowledge of the reservations and ticketing processes in addition to experience with the payment and fraud functionalities
- Excellent written and verbal communication skills to serve as lead conduit between developers, architects, designers and with external and internal customers
- Ability to handle multiple projects simultaneously working both independently within a strong team-focused environment
- Can do” attitude and willingness to expand current knowledge base
Payment Analyst Job Description
- Provides analytical and managerial support related to the estimator tool interacting with front end and back end financials
- Participates in process improvement projects and provides on-going review of the tool for efficiency and enhancements
- Assists on projects within Contract Management as required
- Interpret contract reimbursement and provide feedback to management staff as required
- Manage underpayment appeals, account follow-up and payor relationships
- Compile and analyze data to make recommendations
- Resolve underpaid claims in an effective and timely fashion
- Review payer policies for impact on reimbursement
- Present data to various end users
- Compile and validate account analysis prior to distribution
- Familiar with malware families and analysis, network concepts and technology
- Proficiency with payment card fraud identification and reporting tools
- Security and technical related certifications a plus
- Must have excellent analytical skills, including ability to use business intelligence tools, build spreadsheet models, and sort through complex data to crystallize business implications
- Proficiency in MS office products (PowerPoint, Excel, Word)
- Extensive knowledge of all Payments applications and impacts across Payment Services