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EOB/Payment Analyst
Company : Prime Healthcare Services
Location : Anaheim, CA, 92804
Job Type : Full Time
Date Posted : 7 January 2026
Overview
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! West Anaheim Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1964, West Anaheim Medical Center is a 219-bed acute-care hospital dedicated to providing the community with high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more information visit www.westanaheimmedctr.com.
Responsibilities
Under the supervision of the Director, the Payment Review Specialist position is responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospital's receivables. Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate State and Federal regulations in order to assure compliance in payment practices.
Qualifications
Education and Work Experience
Pay Transparency
West Anaheim Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $29.22. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Employment Status
Full TimeShift
DaysEqual Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Privacy Notice
Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
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Frequently asked questions
Navigating diverse insurer policies and frequent updates to CPT or ICD coding standards in Anaheim's dynamic healthcare market can challenge payment analysts. Handling discrepancies in managed care reimbursements and ensuring compliance with both state and federal regulations requires strong analytical skills and up-to-date knowledge of billing operations.
Anaheim's healthcare industry shows steady demand for EOB/Payment Analysts, with less intense competition than Los Angeles or San Francisco. Candidates benefit from robust hospital networks like Prime Healthcare Services, providing opportunities for stable employment and career growth in a community-focused environment.
Mastering medical billing codes like CPT, ICD-9, and HCPCS alongside proficiency in insurance claim adjudication enhances accuracy in payment review. Familiarity with regulatory compliance and advanced problem-solving skills equips analysts to optimize reimbursements efficiently.
Many EOB/Payment Analysts advance into roles such as Billing Operations Manager, Healthcare Revenue Cycle Analyst, or Compliance Specialist. Gaining cross-functional knowledge in insurance contracts and hospital financial systems often opens doors to leadership positions in payment operations.
A common misunderstanding is that the role is purely clerical. In truth, it demands critical analysis of complex insurance reimbursements, proactive issue resolution with payers, and compliance oversight, making it a vital position in hospital revenue integrity.
At Prime Healthcare Services, EOB/Payment Analysts contribute by ensuring accurate and timely reimbursements, which sustain financial resources essential for quality patient services. Their attention to detail directly supports the hospital's mission to deliver compassionate, community-centered healthcare.
Prime Healthcare fosters a team-oriented environment where EOB/Payment Analysts collaborate closely with clinical and administrative staff. This culture encourages shared accountability, continuous learning, and adherence to ethical billing practices, enhancing both job satisfaction and operational efficiency.
Salaries for EOB/Payment Analysts in Anaheim typically range from $21.00 to $29.22 per hour, depending on experience, credentials, and technical expertise. Candidates with over three years of hospital billing experience and strong coding knowledge tend to command compensation toward the higher end.
Proficiency in CPT and HCPCS coding is essential, as precise interpretation of these codes ensures accurate payment analysis and compliance with insurance contracts. This skill reduces claim denials and maximizes hospital revenue, making it a cornerstone of the analyst's responsibilities.
Certifications such as Certified Professional Biller (CPB) or Certified Coding Specialist (CCS) are highly valued in Anaheim's healthcare market. Additionally, training on California-specific healthcare regulations and managed care contract nuances can significantly boost employability.