Billing Analyst

Responsibilities

• Provide second-level review of billing procedural policies to ensure optimal reimbursements while adhering to payor-specific requirements
• Interact with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtain clarification of conflicting, ambiguous, or non-specific documentation through provider queries
• Submit any issues or trends to Revenue Cycle Manager and/or practice administrator
• Respond to inquiries regarding payor policies and guidelines, inappropriate coding, denials, and billable services
• Interact with providers and management to review and/or implement codes and to update billing instructions
• Illustrate excellent knowledge of healthcare industry regarding the revenue cycle, and claims
• Review and suggest improvements to procedures, systems, and protocols to ensure optimal billing performance
• Ensure strict confidentiality of financial and medical records
• Perform miscellaneous job-related duties as assigned

Qualifications

• A minimum of 5 years’ experience as a biller, collector, coder, or back office support staff, or other equivalent medical industry experience
• OB/GYN experience preferred, but not required
• Associates degree from an accredited university preferred
• Advanced knowledge of medical billing systems
• Ability to use independent judgment and to manage and impart confidential information
• Strong communication and interpersonal skills
• Knowledge of legal, regulatory, and policy compliance issues related to medical billing procedures and documentation
• Knowledge of current and developing issues and trends in medical billing procedures