ACCOUNT & BILLING ANALYST, Full-time - FULTON COUNTY HEALTH CENTER : Job Details

Job Type Full-timeDescriptionFinance/Patient Accounts - Account & Billing AnalystDepartment: Finance - Account & Billing AnalystStatus Hours: Full-time, 80 hours bi-weekly Shift: First shift Job Description:Fulton County Health Center is seeking a dedicated and detail-oriented Account & Billing Analyst to join our team. This key position will be responsible for analyzing charges, processing client accounts, and the initial processing of insurance claims in accordance with specific contract guidelines and payer requirements. As an Account & Billing Analyst, you will play a critical role in ensuring accurate and timely billing while maintaining positive relationships with patients, insurance companies, and internal departments.Key Responsibilities:

• Analyze and process client accounts and charges, ensuring compliance with payer requirements and contract guidelines.
• Initial processing of insurance claims, including verifying eligibility and ensuring claims are submitted within timely filing requirements.
• Manage and work daily charge worklists, payer rejects, and follow-up on billed accounts.
• Contact patients and insurance companies to obtain necessary information for claim processing.
• Assist in resolving charge issues from various departments, working with both internal teams and external entities.
• Prepare claims for patient services according to payer guidelines using billing vendors.
• Collaborate with physician offices, departments, and patients/guarantors to gather additional information or address discrepancies.
• Update and maintain patient financial records as needed.
• Work with healthcare agencies (e.g., home health, hospice, nursing homes) and doctors' offices to obtain accurate billing information.
• Assist with Medicaid eligibility issues in coordination with county Job and Family Services offices.
• Process BWC forms and assist with FROI filing for patients when required.
• Support denial management efforts by completing Provider Adjustment Request (PAR) forms with necessary attachments.
• Utilize systems such as Meditech, Quadax, Excel, Word, and various insurance-specific portals to process claims.
• Maintain up-to-date knowledge of NCCI, MUE, OCE edits, and clinical policies/LCD/NCD coverage criteria to ensure accurate billing and claims processing.
• Participate in and help organize staff training, focusing on error reduction, insurance portal use, and process improvements.

Requirements

• High school diploma or general education degree (GED).
• Previous registration experience is desired; medical terminology is required.
• Proficiency in Microsoft Word, Excel, PowerPoint, and Lotus Notes.
• Previous experience with Meditech is desirable.
• Ability to multitask and work under pressure.
• Must be team-oriented, adaptable, and willing to pick up tasks wherever needed.
• Flexibility to work different shifts and pick up additional hours as needed.
• Training for this position will be a minimum of six weeks, during first shift hours Monday - Friday.