Billing Analyst I - Artesia General Hospital : Job Details

Job Summary:

Performs billing, insurance follow-up, and collection responsibilities for physician practices with minimal supervision. Collaborative, intellectually and has a strong work ethic. Must be influential communication skills with an ability to efficiently communicate the finance story.

ESSENTIAL FUNCTIONS:

* Collaborate with other departments to ensure billing accuracy

* Develops and assist with billing policies as needed.

* Analyzing all billing procedures and identifying opportunities for improvement

* Familiarity with such terms such as MMC, HMO, PPO, Medicaid, Capitation and how these payers process claims

* Broad knowledge and understanding of payor rejections.

* Reconciling claims and resolving discrepancies.

* Determine final disposition of outstanding accounts.

* Ensure smooth and accurate billing operations

* Medical claims and or hospital collection experience with sound judgement

* Excellent communication and interpersonal skills.

ADDITIONAL RESPONSIBILITIES:

* Excellent knowledge of electronic billing procedures.

* Represents billing in projects for migration, integration and shared services strategies.

* Coordinates with other departments to ensure claims are billed correctly.

* Strong attention to detail & keeping updated records of accounts receivables trends.

* Responsible for training and resolution of errors and issues that may arise.

* Research and update billing demographic data to ensure prompt payment from the insurance payers.

* Ability to utilize standard billing systems & tools such as CPSI, RCM, Novitas & EMR and CMS guidelines

KNOWLEDGE/SKILL/ABILITIES:

* Billing & Follow up, admission & Prior Auth training.

* Training abilities

* Ability to manage time and task independently while maintain productivity

* Strong attention to detail which requires following standard operating procedures

AGE-RELATED COMPETENCIES: Demonstrates the basic knowledge and skills necessary to identify age-specific patient needs appropriate for this position.

Information Management: Treats all information and data within the scope of the position with appropriate confidentiality and security.

Risk Management/Quality Management/Safety: Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations.

MINIMUM POSITION QUALIFICATIONS:

* Education - High school diploma or equivalent.

* Minimum - 4-6 years of experience as a Biller and or Follow up specialist

* Work Experience - One year in an office setting; medical billing preferred.

* Training - at least 3 to 4 years Revenue Cycle & Admission experience

* License/Certification - none.

ENVIROMENTAL CONDITIONS: Work environment consists of daily patient contact, which may include exposure to blood, or other body fluids.