Billing Analyst

Summary

The Billing Analyst is responsible for processing orders, checking insurance eligibility, obtaining insurance authorizations, managing accounts receivables, invoicing, and billing for durable medical equipment and supplies. This role supports ChelseaCare HME colleagues and provides logistical assistance to the HME Manager.

Essential Functions and Responsibilities

• Processes accounts receivable for equipment and services rendered
• Processes insurance related issues such as verifying the completeness and accuracy of orders prior to claims submission
• Processes monthly patient statements and initiates collections
• Reviews updates on insurance and governmental guidelines and regulations
• Processes physician orders and checks insurance coverage and eligibility, provides financial quotes to patients and obtains insurance authorizations
• May triage incoming faxes and divert to appropriate person or file documents in patients' records
• Monitor and work to resolve issues in software work queues (incorrect order received/no order on file/CMN expired or not on file to be able to dispense equipment or supplies)
• Provides customer service for all billing issues
• Contributes to cost containment initiatives
• Maintains good rapport and cooperative relationships; approaches conflict in a constructive manner
• Helps to identify problems, offer solutions, and participates in their resolution
• Maintains the confidentiality of information acquired pertaining to patients, physicians, employees, and visitors
• Discusses patient and hospital information only among appropriate personnel in appropriately private places
• Maintains knowledge to perform the duties of the job
• Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management
• Demonstrates self-directed learning
• Behaves in accordance with the Mission, Vision and Values of Chelsea Hospital/Trinity Health
• Provides quality patient care by considering the age specific, development and cultural needs through competent clinical practice
• Demonstrates unit/area competencies
• Identifies and assists in resolution of problems related to safety, sanitation and maintenance of the environment
• Practices effective communication in all interactions (patient, visitor, co-worker, etc.)
• Promotes a positive work environment by demonstrating teamwork

Qualifications

• Minimum high school education
• Excellent verbal/written communication skills
• Computer experience
• Excellent customer satisfaction skills
• Experience in billing is preferred
• Medical billing certification preferred

Schedule

This position is onsite; there is no option to work remotely. Training occurs in Chelsea with the option to work in either Chelsea or Ann Arbor after training. Shift: Day Shift.