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Billing & Claims Analyst

Porter Cares, Inc.

Porter is hiring a Billing & Claims Analyst to support its healthcare IT and services platform focused on care and coverage coordination.

The role centers on monitoring billing and claims activity across payer-contracted service models, including delegated services, in-home assessments, HEDIS gap closure, and risk adjustment visits. This position works heavily in Athena to track claim submission status, payment outcomes, hold queues, and invoice reconciliation. The analyst helps identify recurring issues, support corrective actions, and ensure claims are processed accurately.

Requirements & Qualifications
  • Proficiency in Athena, including running reports, navigating claim status and hold queues, and pulling claim-level detail
  • 1–3+ years of experience in medical billing, claims processing, or revenue cycle operations
  • Strong Excel skills, including pivot tables and VLOOKUP/XLOOKUP
  • Basic reconciliation experience; SQL or other data-query experience is a plus
  • High attention to detail and comfort with repetitive reconciliation work
  • Clear written communication for documenting issues and escalations
  • Preferred: experience with value-based care, risk adjustment, HEDIS, delegated/capitated billing models, encounter data reporting, or payer portals for claim status verification
Benefits & Perks
  • Competitive wage and benefits package
  • Opportunities for professional growth and continuing education
  • Supportive, collaborative work environment

Location

Florida, US

Employment Type

Full-time

Experience Level

Associate

Salary Range

$58,000 - $75,000

Remote work allowed

No

Posted

1 month ago

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