Medical Billing Analyst

Job Description

Job Description

Position: Billing Analyst
Reports To: Account Manager
Type: Salaried (non-Exempt)
Schedule: Monday-Friday 7:30-4:00/8:30-5:00 (Hours are subject to change depending on the client’s location)

Objective: Generate excellent accounts receivable management results for the client account/s assigned.

Job Responsibility as follows -
Primary Duties:
· Update patient demographic information.
· Review and clarify CPT and ICD10 coding questions for charge entry.
· Analyze and prepare insurance claims for accuracy. Attach required documentation. Meet billing deadlines.
· Analyze and review delinquent accounts and prepare them for collection agency recovery.
· Analyze over payments and prepare them for refunds to insurance companies or patients.
· Contact insurance companies with delinquent accounts to arrange for payment to ensure AR is maintained to company standards.
· Analyze electronic remittance advice (ERA) for accuracy of payments and contracted rates, work denials, and send appeals or letters when necessary.
· Perform and reconcile month end balancing and report to Account Manager when complete.
· Produce reports, work reports, and report to Account Manager monthly for month end review preview.
· Keep detailed records of fund transfers and payment transactions, log on spreadsheet.
· Maintain the highest standards of security and confidentiality in the billing procedures.
· Attend meetings and committee participation as required.
· Participate in audits when necessary.

Performance Requirements:
· knowledge in medical business office procedures
· excellent customer service skills
· exceptional math skills
· a clear understanding of the billing process
· exceptional computer skills
· knowledge of Microsoft Office Suite, particularly Excel
· organization skills and be detail oriented
· analytical skills
· ability to work independently with minimal supervision
· ability to establish effective working relationships
· knowledge of medical terminology
· flexibility in all office duties
· ability to write and communicate clearly

Temperaments: Work demands personality with the ability to shift focus rapidly and error-free from one duty to another. Must be capable of communicating with people of various educational levels and backgrounds. Must demonstrate professionalism in appearance and actions.

Education: High School diploma, Associates degree, or other formal education preferred.

Experience: Two years of accounts receivable, insurance, and patient/customer service experience, including one year of experience in a health care organization, required.

Physical Demands: Requires prolonged sitting, some bending, stooping and stretching. Occasional lifting files or paper weighing up to 50 pounds. Requires eye-hand coordination and manual dexterity to operate a personal computer, keyboard, scanner, telephone, calculator, fax machine and other office equipment. Speaking abilities must be adequate to interact appropriately with others, including patients, medical professionals, and co-workers. Must have adequate visual acuity to read, interpret written materials and to perform required procedures. Must be able to maintain excellent standard of attendance according to policy.

Working Conditions: Climate controlled shared office. Must be able to endure long hours of looking at computer screens. Scanning or importing data from client sites. Interaction with others is constant, interruptive, and requires dedication and ability to multitask.