Billing Analyst

Maintained Functions And Responsibilities

• 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 patient, physicians, employees, and visitors to Chelsea Hospital/Trinity Health.
• 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.
• Identifies and assists in resolution of problems related to safety, sanitation and maintenance of the environment.
• Promotes a positive work environment by demonstrating teamwork.

Essential Functions

• 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 queue's (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.

Qualifications

• Minimum high school education.
• Excellent verbal/written communication skills.
• Computer experience.
• Prefer medical billing certification.